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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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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 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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EHD - Public
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Ct,I: b <br /> Chain of Custodoccord On-site Tune TempYroject Name: Soil Boring and Momtoriug Well Installation Off site Time Tem <br /> BP WAR Reglon/Enfos Segment: Atlantic Richfield Company Sky Conditions <br /> State or Lead Regulatory Agency: San Joaquin__ San Joaquin County eteorological Events <br /> Requested Due Date(mm/dd/yy)- Wind Speed Direction <br /> Lab Name Sequoia AnalyticalBP/AR Facility No 2133 Consultant/Contractor SECOR International,Inc <br /> Address 885 Jarvis DriveBP/AR Facility Address 2908 Benjamin Holt Dr,Stockton,CA Address 3017 Kilgore Road,Suite 100 <br /> Mar an Hill,CA 95037 Site Lat/l.on 38/4213 Rancho Cordova,CA 95670 <br /> L-ab PM Lisa Race California Global ID# T0607700002 Consultant/Contractor Proeet No 77C13 94275 10 0002 <br /> elelFax (408)782-8156 nfos Protect No Consultant/ContractorPM BrianCarey <br /> P/AR PM Contact Pau]Sit ple Provision or ACOP circle one Telefflax (91 861-0400 x241/ 91 861-0430 <br /> ddress PO Box 6249 hase/WBS Report Type&QC Level <br /> Mona a,CA 94570 Sub Phase/Task E-mail EDD To bcare @secor com and Jheb 1 ecor-eo <br /> Tele/Fax Cost Element JJffivoice to Consultant or 13P or AtlantieR Afield Co circle one <br /> ab Bottle Order Na Matrix Preservative Requested Analysis J <br /> Item 10 � ° ample Point ong and <br /> � � � °� .. .-, .. <br /> No Sample Description E ca Sy 9 Laboratory No _ ` merits <br /> 'Oxygenates include MtBE TAME, <br /> DIPS,EtBE,TBAðanol <br /> R. Z e x x � VAS <br /> 1 0— (b`.z3 1 IO l 1 }� <br /> / IZZJ <br /> 2 M t1 /w � ���� \4 <br /> 3 r10-Y- -5- 221 <br /> 4 - 2Z �r x <br /> S <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name Reftwished By AFfillahon Date Time Accepted By/AWalton Date Time <br /> Sant ler's Com as <br /> Shipment Date G� <br /> Shi mcnt Method <br /> Shipment TrackingNo <br /> pecial Instructions <br /> Custody Seals In Place Yes No Temp$lank Yes IVa Cooler Temperature on Receipt �° C Trip Blank Yes No <br /> `.Distribution White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co /Pink Copy-Consultant/Contractor BP COC Rev 4 10/1/04 <br />
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