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ARCHIVED REPORTS XR0001346
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 XR0001346
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Entry Properties
Last modified
2/7/2019 3:33:06 PM
Creation date
2/7/2019 2:43:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001346
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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i i F7f�G V�_ <br /> • Chain of Custody Record )a-Site Time Temp <br /> bp Project Name' Soil Boring and Monitortng Well Installation Off-site Time Tena <br /> " <br /> BP MAR Region/EnTos Segment: Atlantic Rtchiield Com`pany S ky Conditions <br /> State or Lead Regulatory Agency. San Joaquin Conn ;IEHM Meteorological Events <br /> Requested Due Date(wirnldd/yy): ]] � ;: lIWmd S eed Direction <br /> Il 1 if f <br /> Lab Name Sequoua Analytical BP/AR Facility No 2133 IJ tConsultant/ContractorSECOR International,Inc <br /> r <br /> ddrew, 885 Jarvis Drive BWAR Facility Address 2908 Benjamin Holt Dr,'St e'kton,CA Addrew 3017 Kil oro Road,Suite 100 <br />� <br /> Morgan Illll,CA 95037 Site Lat/Lott 381-1213 ] <br /> Rancho Cordova,CA 95670 <br /> PM Lisa Race California Global ID# T0607700042 II l� Consultant/Contmotor Project No 77CFL9427510 0002 <br /> LabelelFax (408)782-8156 rPh <br /> os Project No ]� ]f Consultant/Contractor PM Brian Carey <br /> AIAR PM Contact Paul Supple vision or RCOP eircle one II ll ele/Fax 1 861-0400 x2411(916)861-0430 <br /> Address PO Box 6249 selWBS ]] � ]M E Re art Type&QC Level <br /> Mora a,CA 94570 Phasdrask. ]) ]� ' marl EDD To bearey@secor cow and lheberl ecor cam <br /> ele/Fax JCost Element JI ' if Invoice to Consultant or IBP or Atlantic Richfield Co circle one <br /> ab Bottle Order NG- 14latnx Preservative Requested Analysis <br /> C) t. d M Sample Point LatlLong and <br /> He e o Comments <br /> Item Sample Description a i�r Laboratory No. o 00 `p d " "� *Oxygenates include MfflE,TAME, <br /> No Fy A c O. zo a a �o A DIP,E,ELBE,TBAðanol <br /> A5 a 11/IPG02 Z x x Y• V R i <br /> orao2 <br /> s <br /> li II <br /> 5 <br /> 2 �3 IG + X <br /> 1 JI <br /> 11 <br /> 60 <br /> 7 r ti y V II �� <br /> II 1' <br /> 9 was <br /> I �I <br /> atnpler'sName RehnquuhedBy/Atli[iahon JJ $Date Tfine Accepted BylAffiliation Date Time <br /> Sarn ler's Corn M- 'C / II :""rt �' 8$ <br /> shipment Date ]] ]Je`4 6412 y <br /> Shipment Method <br /> Shipment Triackuig No II II <br /> ec+al Instructions II Ifff <br /> Custod Sea n Place Yes No Tem Blank Yes No _ Cooler Temperature on Receipt Sr°F TripBlank Yes No <br /> Distr White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co 1 py-ConsultantlContractor 'BP COC Rev 4 1� <br />
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