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ARCHIVED REPORTS XR0001805
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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2900 - Site Mitigation Program
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PR0508009
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ARCHIVED REPORTS XR0001805
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Entry Properties
Last modified
5/20/2019 2:23:27 PM
Creation date
5/20/2019 2:07:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001805
RECORD_ID
PR0508009
PE
2957
FACILITY_ID
FA0007882
FACILITY_NAME
ARCO #760
STREET_NUMBER
225
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314058
CURRENT_STATUS
01
SITE_LOCATION
225 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Chain of Custody Record - t ':'i Ot <br /> ObV <br /> Project Narrte• ARCO 760 OW Quarterly On-site Tim O Tem BP MAR Region/Enfos Segment: BP>Americas>West Coast>Retail>WCBI)>CAOff-site Time 15 15 Tem <br /> >CanM>780>FWoncatBL Sky Conditions 6t re►./ <br /> State or Lead Regulatory Agency: San Joaqwn County EnOunmaMal Management Dept Metcoroiaglcal Events 45 v <br /> Requested Due Date(nun/dd/yy) 55}0.Aa"A End Speed Direction - <br /> Lab Name Sequota P/AR Facility No 760 Consultant/Contractor URS <br /> Address 885 Jarvis D tvn HP/AIL Facility Address 225 S Cherokee,Lodi,CA 95240 Address 2870 Gateway Oaks Drive,Suite 300 <br /> Morgan Bull,CA 95037 Site Lat/Long NIA Sacramento CA 95833 <br /> Lab PM Lisa hate California Olobal ID No 70607700245 Consultant/Contractor Pro ect No 38466394 <br /> ele/Fax 4087769600/4087826308 Enfos Project No G0C8R-0002 Consultant/Contractor PM Vernon Elarth <br /> t3P/AR PM Contact Paul Su In Provision or RCOP Proviston Telefflax 916 717 5045/916 679 2900 <br /> dress P 0 Box 6549 PhasdWBS 04-Mon/Remed by Natural Attenuation fleport Type& C Level Level 1 with EDP <br /> Mora a,CA 94570 Sub Phase/Task 03-Analytical E-mail EDD To Denise Yce uiscorp com <br /> el 825,299 8891/925 299 8872 Cost Elemenr 05-Subcontracted Costs Fnvoioe to Altantic Ric le Co <br /> Lab Botde Olyder No Matrix Preservative Requested Analysis <br /> >~ N 00 <br /> l� PA 1�6 <br /> °n w4 r. a <br /> ' ewe Sainplo-RotntTff _ng and <br /> Sam !e Description Laboratory No 0 m In N � m a <br /> No P P �° �r Y U n o 0 040 N Comments <br /> r° p u + 1 U °•o• <br /> 0o A <br /> rn t� x � �' Gd !x Y A <br /> 1 O i � k H�� <br /> 2 w, - t gts 1.1", Y X <br /> 3 1 qsf A g2 <br /> 4 <br /> _ 5 <br /> 6 1YO5 7 <br /> 7 <br /> 8 <br /> 9 <br /> 14 <br /> arnpler's Name Relinquished By!Affiliation hate Dime Accepted By/A1811Auan Date Time <br /> Sam ler'SCo1n anR • �3 Gu)2)1 <br /> t <br /> Shl ment Date e I 17 f b ' <br /> iu ment Method . — <br /> � J <br /> Sh1 ment Trackut No <br /> �� <br /> lep telal Irrstructions t <br /> 4y Seals In Place Yes No Teapp Blank Yes No Cooler Temperature on Reeelpl Z °F/C Inp Blank Yes No <br /> 9110n White Copy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co /Pink 0-Consultant/Contractor BP COC Rev 4 le/1/04 <br />
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