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ARCHIVED REPORTS XR0012556
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 XR0012556
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Entry Properties
Last modified
2/7/2019 11:41:34 AM
Creation date
2/7/2019 11:15:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012556
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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d <br /> A CO1P us oDffl$M orr i�' Task Aider No. �/i - S Chain .-:.ustody <br /> ARCO Facility no. Cily _ Project manager _ Labcialory name <br /> Factlt) c C f Consultant fir• /�i i <br /> ARCO engineer Telephone no. Telephone no. Fax no. _c = r s <br /> L - I-.< ARCO (Consultant) 9r !111�.�.�_. CansullanlM Contract number <br /> Consultant name / Address <br /> (Consultant) <br /> - ❑ I,,' 6iclhod of chipmunk <br /> Matrix Preservation <br /> r 1j c v ^ti io m <br /> m C S $ 0. G 1J <br /> n °e 'm 50�I Water Other Ica Acid a � a 3 ^iJ Owe t Ri <br /> - <br /> E a c m m ''S`��„ a = <br /> U, -1 d �, m$ mw �0 <br /> Special detection j <br /> Q/c �j L+mitheporting <br /> Special OAloC--------^ '-F.. <br /> r <br /> Remarks <br /> a 4i r'e; <br /> , <br /> r <br /> Lab number <br /> i <br /> Turnaround tm:5 <br /> C Priorly Rush - <br /> r 1 Business Day L] <br /> Condition of sample: Tomperatu:e received: a e <br /> Rush <br /> Relinquish 'w!am"r rr Date Time Received by 2 Business Days C.] <br /> am l•.. ���-ter% /t> �C. <br /> Relinquished bye% 5 Busi D to Time Received by ed <br /> � 5 T3usiness Days ❑ <br /> Relinquished by j Date Time Rageived by laboratory Dafe Time - Standard <br /> 10 Business Day$ <br /> Minbution:White copy—Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Cansullanl I <br /> APPO-3M(2-61) - <br /> .- t <br />
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