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ARCHIVED REPORTS XR0012554
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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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0012554
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Entry Properties
Last modified
2/7/2019 12:07:41 PM
Creation date
2/7/2019 11:09:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012554
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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ARCO PI..� is Company <br /> Or+own o1 AStantcArnlyrdCompany Task Order No. v7/3 E3 - �/i -5 Chain b.-?ustody " <br /> ARCO Facility no. CdY Project manager <br /> _ + a <br /> Facd+fY) - c <-f, [Consultant <br /> Laboratory name Y_ <br /> ARCO engineer - Telephone no. f Telephone no. Fat no. t 3 <br /> (ARCO) <br /> (Consuhani ?i _ Consullanl <br /> ConsuhenF name - ) — Comratt number <br /> Address <br /> Consultant) <br /> Malrix Preservation Z� Malhod of shipment,__._ - <br /> o E v 5T L7 U <br /> Toil <br /> TWalerOther71ceAcid n q W a g g d e m _ 0o LJ <br /> ° ❑ a ti ; haw- '�'y <br /> (n uJ m•S NV Or r.,RJ W ..moi �Sr ems. \ <br /> 'a r" —— Spatial dotetnon --- -- _ <br /> 131C I y + "JII/Jt��q <br /> - --- — --- — SpacialONGG <br /> 1 <br /> t <br /> O - - L` �_" .rJI <br /> Lab number <br /> Turnaround time �l <br /> F <br /> r Pnonty Rush <br /> 1 business Da, t _ <br /> Condition of sample: Temperature received: <br /> Re6nquisheq by-nam{yec Date Time Received by Flush ,;.r.. <br /> 2 Business Days jp'` •4+ <br /> Rabnquished bye;= Date Time Received by — r-pedded 'g ' <br /> � S Business Days <br /> Time <br /> _. Relinquished 6y Date Time Receiyetl by Faboralory Dato Slandard <br /> / _ <br /> 10 Business Day$ <br /> Distribution:White copy—Laboratory;Canary copy—ARCO Environmenlat Engineering;Pink copy—Consullant <br /> APPC-3292(2.91) <br /> Ri <br /> i <br />
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