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ARCHIVED REPORTS XR0000404
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000404
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Entry Properties
Last modified
2/7/2019 9:57:19 AM
Creation date
2/7/2019 9:08:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000404
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Tags
EHD - Public
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Page l of 3 <br /> Chain of Custody Rccorld On-site 11111e Temp- 't <br /> . Project Name 24x4 Groundwater Sampling Event Off-site '15mc Temp � <br /> ' ` a �BP BUIGEM CO Pol tfollo: Atlantic Richfield Copany Sky Conditions � <br /> BP Labaiatmy Conti act Numbei: _ Ie(vtl Meteorological Evefits l <br /> Date: Requested Due Date(1urtVdd13y Wind Speed Direction 1 <br /> Send To BWORM FacdityNo. ARCO S(atlon 1133, omnitantlContrncker SRCOA <br /> Lab Name SEQUOIA ANALYTICAL BPIGEM Facility Address 2908]lenja iln l olt Dr. Address 3011 Kilgore ltd,Sie 100 <br /> I ab Address 885 JanisDrtve Site 11)No. Itsncho Cordova,CA 95670 <br /> Morgan Wil,CA 95037 Site LaAong. 381-1213 a•marl EDD ltflesoras@secor com <br /> California Global ID 9 `1'0607700D02 ConsullantfContractor Project No 77nr 521x3 as 0311 <br /> Lab PM Run Nobel.(Sacramento Office) B1110EM PM Contact Pail Supple ConsultantfConlrnclorTeldFax 916 861,0430 <br /> letellrax- 9164219600 Address 1'.O.Box 6249 CansullantfContracto R Beukosky <br /> Report Type&QC Lt}vcl Moraga,CA 91570 Invoice to- C sultmtlContr for or BP/GEM (Cnele one) <br /> U1'/GEM AccaintNo relelPax (925)299 889E BPIGENI Wor 3 <br /> Lab Botlle Order No Ma#rrz Freservstlrves I Refluested Amnlysis <br /> rb7-3y <br /> a4 <br /> 'a �t Sample Point Litt/Long Rail <br /> Item sampleDescrlptlon Time Lair No. d �% � PQ Comments <br /> 0 o <br /> CMP <br /> ' 0 O a tst <br /> ran In 01 <br /> x ca 9 <br /> 1 E-2 ___.----------------- --------------_---------------------INAGT 38 00432111-121349915 <br /> 2 E-3 ---------------------- ----_---------------------------------INACC 38 00443051-121 349863 <br /> 3 E-4 ------------ ------- ------------------ ------------------]NAGE 38 0009651-121349833 <br /> 4 E-5 — ------ ----------------— Tb%TACT 38 00454221-121 349872 <br /> 5 E-6 ------------------------------------------------------------IMACr 38 00444791-121350204 <br /> 6 E-7 -------------------------------------------------- ---- INACT 38 00442381-121.349667 <br /> 7 E-8 ---------------------I----------------- INA,CT 38 00454681-121349803 <br /> - g E-A e,r 3 XL I IX 38 00475361-121.349887 <br /> Sarnpler'sNamo Roilrtt� L hedByIMR]IMiou ���mptedBy!Affillation DAte Into <br /> LL <br /> Saint 1YS Company , v <br /> Slit tnent Bate. <br /> 03-hi anent Method nit— <br /> Shtpmcnt Iracking No <br /> telal Instructions. <br /> Seals luPlace Yes _ATO Temperattim Blauk Yes filo Trip Blank Yes _No <br /> t on Wwl Copy- aboratory f YCIJa'-v Copy-BPIG.RM l Palk copy-Co ntlContractoi BP COC Rev t IW02 .� <br />
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