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ARCHIVED REPORTS XR0000406
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 XR0000406
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Entry Properties
Last modified
2/7/2019 12:34:23 PM
Creation date
2/7/2019 11:26:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000406
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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WNg
Tags
EHD - Public
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-A <br /> ARCO Products Company ;; ^' '� <br /> Division of AtlanticR4chhaldCompany Task Order No 3L � `7] -�� Chain of Custody <br /> ARCO Facility no City Project manager Laboratory name <br /> �13 3 (Facitit KT cry (Consultant) S i c�c 1t'�ISN <br /> ARCOngineer Telepha a n , Telephone no Fax no /G _ <br /> }ilLK C": ARCO /�C]/I Z+f b (Consultant) i( ��C q 4L4 )4 (Consultant) L f��+' � r� 3�] Contract n mbar <br /> Consrlll�nl name Address <br /> r20 kN+- C-4,LbcIrv.- (Consultant) C]E !� �(IC PV") / V54f/E P G 3Qx 13qu 5 CA C/ (o!3 <br /> Matrix Preservation ❑ Method of shipment <br /> � 4 <br /> E <br /> o m m m '=D ❑ �o Cac.v,�yr <br /> V O !V <br /> 0 C4 <br /> nJIR Se <br /> v �1 ww ❑ <br /> CL °c $ Soil Water 011ier Ice Acid a n a r�`� o❑ m N N ❑ m❑ as <br /> E n c E E xw tib 2i6 m v o o �v q�� <br /> V11 m o m m w� we x v, xa a a a , a M <br /> r- i-a am as a o- a vin 0aV <br /> rn U in m m� mw r-c7 Ov �w w w w �� v� �� <br /> Special detection <br /> Urnitlreporting <br /> x <br /> r <br /> Special QAJOC <br /> Remarks <br /> mcu-l -a.5—q <br /> an HO t D ii <br /> 5Nvp- mw — <br /> r�I�I <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample Temperature received <br /> Rush <br /> Re q lied by sampler Date Time Rectilvad by 2 Business Days ❑ <br /> Relinquish by c Date Time ecely b Expedited 5 Business Days ❑ <br /> Rel ish/d�6y Date 4 `I 7_� Receivedynborato_ry ��A�i 1��[q Tr.4 5-7 Standard <br /> C� ,(/1 I�� C� T �q3 10 Business Days <br /> Distribution White copy—Laboratory Canary copy—ARCO Environmental Engmosnng Pink copy—Consultant <br /> APPC 3292(2 911 <br />
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