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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
Scanner
WNg
Tags
EHD - Public
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�� Page 2 of 3 0 <br /> Chain of Custody RecordOn-vie Time Temp <br /> Project Name 2004 Groundwater Sampling Event I ore site Time Temp <br /> 0 <br /> RP 13UfGTtYT CO Poi tfoltn: _ <br /> Atlantic Richfield Company Sky Conditions <br /> BP L.aboa atory Coututet Nuitiber: - 4(6 fo o o elGgrplogrcal l?vellm <br /> Date Rogncsted Due We(ruse dd/,yy Direction <br /> Send To: RP1GPM Facility No. ARCO Slatlon 24;33 Coltsultant/Con[racier SFCOR <br /> Lab Namo SEQUOIA ANALYTICAL, P/GEM FactltlyAddress 2908 Beu)anli Holi De. Address 3417 Kilgore ltd.,Ste,100 <br /> Lab Address 88S Jarvis Ds!rc Site ID No. Rancho Cos doffs,CA 95670 <br /> blot an Hill,CA 95017 Site f-at/L.ong 38l--1213 o-m,nl EDD kfiesoi Rs r@secorxom <br /> Catlfamia Global ID 4 T0607700002 ConsttllantlContractor Prolcct No mr u im w o327 <br /> T ab PM 'ton Robc](Sac ramento Office 13PIGHM PM Contact Paul Supple ConsultantlContractor TelelFax: 9168610430 <br /> Tela/Fax 916 921.9600 Address: P.O.'Box 62419 ConsultartWonItntoLPM R.Benkosky <br /> Report e&QC Level Moroga,CA 94570 Invoice to Con fant/Con c r or fiPIGRM Glrcle one) <br /> IiPIOPM Accouni No- Tele/Fax (925)299 8891 BPlGEM Woik <br /> Lab Bottle Order No hlaliix PrCSCtYA1ivP3 Requested Analysis <br /> .; hPF b45 <br /> a � <br /> aMm <br /> Y :r3 Sle Point t/Long:tnd <br /> -Item ampLx <br /> No SampleDescrlptlan 'D me b Lab No n' <br /> Comments <br /> S <br /> x rn us x ey co o `t <br /> I E-10 ZAI&I x ++`1/ 31 . IX 11 Ix I x I I 1 38 00432131-121 349915 <br /> 2 E»11 ----—-------------- --------------------------------------------MACE 38 00443051-121349863 <br /> 3 E-12 -- ---------,----------------------- ----------_INACI' 38 00439651-121.349833 <br /> 4 PR-1 X 3 X X x 38.40454221-121349872 <br /> 5 PR-2 ----------------------------------------------------------INACI' 38 00444791-121350204 <br /> 6 BHD-1 X x 38 00442381-121349607 <br /> 7 BHD-2 ---------------- ----------—-------------- INA(:T 380(}45468/-121349803 <br /> 8 MW-1 _ ------------------ --------------------------------------------TNACT 38 00475361-121 349887 <br /> Samplees Name a 141piquished By/Atfihatcon 11 s Aeeepled By l Aitillallon nate n)Oj Il <br /> Sarn pier's Company } V <br /> Sill inept late d7/�.7 <br /> 5hr ment Method <br /> Slupnsen1 Tracking No- <br /> weiRl lnstruelio!!s <br /> dy Seats In flue Yes No }( f empeTature Blauk Yes No _ rrip I mank Yes Na <br /> %lstnbalsosl Wfule Copy-Laboratory 1 Yel low Copy-IIP/GBM 1 Pink'Copy-Consu llangContractoT Bl'COC Rey.1 215102 <br />
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