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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
Scanner
WNg
Tags
EHD - Public
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Page,S of y_ <br /> Chain of Custody Record On-site Time Temp <br /> bp Protect Name• Sod Boring and Monitoring Well Installation Off-site Time T <br /> emp <br /> BP WAR Regfolf WOW Segment: Atlantic Richfield Company Sky conditions <br /> ` Nota or Una ReguIafory keener Son Joaquin County EHD eteorolo cal Events <br /> Requested Due Date(mm/ti fty). III A ,nd S d Direction <br /> II I! <br /> Lab Name Sequoia Analytical MAR Facility No 2133 Consultant(Contractor SECOR International,Inc <br /> Address 885 Jarvis Drive MARFacility Address 2908 BenjaminHolt Dr,Stockton,CA Addiess 301.7 Kilgore Road,Suite 100 <br /> Morgan Hill,CA 95037 Site LabUng 381-1113 II Rancho Cordova,CA 95670 <br /> Lab PM Lisa Race Cahlbrma Global ZD# T0607700002 III �� �E Consultant/Contractor Project No 77CH9427510 0002 <br /> le/Fax (408)782-8156 Enfos Project No If II Consultant/Contractor PM Brian Carey <br /> P/AR PM Contact. Paul Supple Provision or XCOP (circle one) II t IITele/Fax (9I6)861-0400x241/(916)$61-0430 <br /> Address PO Box 6249 Phase/WBS JI Ty2e 8c QC Level <br /> Mora a,CA 94570 Sub PbaseJl asfc If # Il &Snail EDD To bearey@xecor.com and lbeberi ecor eom <br /> ele./Fax Cost Element II II voice to Consultant or BP or Atlantic Richfield Co circle one <br /> A Bottle Order No Matrix Preservative Requested Analysis <br /> • ' p.. ti Sample Point Latll ong and <br /> .,y $ P4 pq P~q Comments <br /> leen Sample Description A Laboratory No g 7 0t 'g o *Oxygenates include MtBE,TAME, <br /> e '" tj O °� o a d d fa D1PB,EM,TBA ethanol <br /> 00 <br /> .R CJ�o2.2 a! z 1 II 11 II III vi <br /> I 12M <br /> I if <br /> i <br /> 8 �f <br />� y i <br /> .61 10 <br /> Sampler's Name Relinquished By!Affiliation II , I}Date ' Time Acce tfetiation Datc Tare <br /> Sam ler's Com an II 9f <br /> Sht meet Date II II '' s< <br /> T mint Method II II <br /> Shipment Tracictn No II If <br /> Spcclal Instructions <br /> 4 Custody Segift Place Yes No Temp,Blank Yes No Cooler Temperature on Reccipt .S of C Trin Blank Yes <br /> ILQ <br /> Distri White Copy-Laboratory 1 Yellow Copy-BP1Atlantte R1cltfield Ca 1 opy-Consailtant/Contractor lip COC Rev 4 <br /> 1, <br />
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