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ARCHIVED REPORTS XR0000741
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000741
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Entry Properties
Last modified
2/15/2019 3:56:19 PM
Creation date
2/15/2019 2:01:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000741
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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WNg
Tags
EHD - Public
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•.-San Francis �' 10- 8 Conoco 'ilips Chain Of Custody Record E* CLI <br /> Gonocophllllps Site Manager: CoriocgPhRlli�is fAltT `Gtr er Hurelber <br /> 1220 Quarry Lane INVOICE REMITTANCE ADDRESS: <br /> CONOCOPHILLIPS -2 031 T P C 54�j' DATE. l�j_13_U�. <br /> Pteasanton, CA 94566 Attn: Dee Hutchinson at <br /> tronocDPhllllptp dost Object <br /> 3611 South Harbor,Suite 200 },"s 3.. SW.k 3....,.„,, PAGE: of Z <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA. 92704 <br /> SAMPLING CDMPANY: Valid Value ID: CONOCOPHILLIPS SITE NUMBER GLOBAL ID NO.: <br /> TRC 012-0 5 t�6o 77ooS 2 Z <br /> ADDRESS: SITE ADDRESS(Str..t and CltyI: CONOCOPHILLIPS SITE MANAGER: <br /> 21 Technology Drive,Irvine CA 92618 1070 41541li <br /> PROJECT CONTACT(Hardcopy or PDF Report to): L <br /> EDF DELIVERABLE TO{RP or Design"I: PHONE No.: E4”: <br /> Anju Farfan k� <br /> TELEPHONE: FAX: E4rAIL: Peter Thomson,TRC 949-341-7408 <br /> 949.341-7440 1949-763-0111 afarfan@tresotutions.com pthomson@tresolutions.com <br /> SAMPLER NAMEIS)IPr4+1): CONSULTANT PROJECT NUMBER <br /> OaVrI T"(-OV-15 41050001/FA20 REQUESTED ANALYSES <br /> TURNAROUND TIME(CALENDAR DAYSi: m a n <br /> ® 14 DAYS Q 7 DAYS 072 HOURS 0 48 HOURS Q 24 HOURS 13 LESS THAN 24 HOURS O w <br /> a5 v = 0. �: b cx�' <br /> K K o v to O FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX IF EVD I$NEEDED m w O o H ❑ C) cck b <br /> Container/Preservative <br /> X x O m F f or PID Readings <br /> wF I-- > y .� 0. W or Laboratory Notes <br /> Wr"o 2 H ❑ d <br /> O1 a,m N o+ m "> <br /> ❑ to s 0 <br /> 'Field Point name on r uiresd it different from Sam le ID I: m m m r`0 m 4 L1 - C, >'C ->F V <br /> q Sample en I Ica Ion a oin SAMPLING MATRIX No.oF to 0 a E 0 �-- TEMPERATURE ON RECEIPT C° <br /> r CONT. O N N N N N O d <br /> eti%Y Name DATE TIME co m co ,a Co.� w w � <br /> 7 X � X x v„,�'^�N j 3>r10 r 3 <br /> kc A <br /> MVV' S 162 <br /> �k. MVV-�Z 1IUZ <br /> lmw- 13 I21 <br /> 6 113 <br /> MW 115 <br /> �2 59,3 j T V <br /> Relin9vidwd by:(Signah re Reeerved by:(Slliulure) Date: Time: <br /> ,� d- �3-r�� 15 L10 <br /> If <br /> Relnqui :(Sip") Receiv y' bxs) Date: Time: <br /> 11 /o-/Y�oY I�zs <br /> JR'slinq0" A b by: Date: Time <br /> io-,yds X705 <br /> 9118103 Ransian <br />
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