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ARCHIVED REPORTS XR0001806
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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225
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2900 - Site Mitigation Program
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PR0508009
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ARCHIVED REPORTS XR0001806
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Entry Properties
Last modified
5/20/2019 2:27:38 PM
Creation date
5/20/2019 2:07:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001806
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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r � � Page ( of <br /> �� Chain of Custodv .Record ��ll2l _ �1 On-size Time �a� Tem q <br /> bp Project Name ARCO 760 GW Monitoring T� ft site Time 40 15 Tem <br /> 131 WGUNI CO Pot tfolto Retail Sky Conditions <br /> I3P 1,aboratot v Contract Number- Atlantic Richfield Co. [Meteorological Events A <br /> llate I-L Requested Due Date(nut►Idd/)?} 5 W►nd Speed U A Direuton <br /> Send To BMWFacilit No ARCO 760 ConsultantiContractor URS <br /> Lab Name SEQUOIADP/GEM Facile Address 225 S Cherokee Ln LODI, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab AdJress 1455 N McDowell Blvd Suite D Site ID No ARCO 760 Sacramento, CA 95833 <br /> Petaluma,CA 94954 Site Lata -marl EDD denise_yee@urscorp corn <br /> California Global ID D T0607700246 ConsultanVContrdctor Project No <br /> Lab PM An elee Carr BP/GEM PM Contact PAUL SUPPLE Consultant Telell'ax 916-679-23871916-679-2900 <br /> ele,Taa 707-792-1865/707-792-0342 Address P 0 Box 6549Consultant/Contractor PM VERN E <br /> Report C e& C Ll l Send EDF Reports Mora a, CA 94570 Invoice to Consill Contractor o BP/GEM .F0l:on') <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872 BP/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservative, Requested Analysts <br /> w <br /> L <br /> o <br /> , Sample Point Lat/Long and <br /> Item No Sample Description rime '5! - �, Laboratory No o �, N W Q � o <br /> c w t. a ¢ Comments <br /> uE oo a tJ <br /> q u o c V) <br /> cn 3 rn ¢ z x a01 <br /> a w © N <br /> 11022 -CI ?C $ x <br /> 2 Y, <br /> 3 t - ^- 171t :1y 4 � r✓ � -L � { <br /> 4 <br /> 5 <br /> 6 <br /> 7 t <br /> 8 <br /> 9 <br /> to <br /> Saln1 ler's Name 61,-A41� Relinquished B /Affiliation ate unc c led By 1 Iiliationate ime <br /> Sam ler's Com any Z h C' -30 f L <br /> Shipment Date f 5;� y ' r <br /> Shipment Method ! <br /> Sht mens TiaLkin No w g <br /> Saecial Instructions address Invoii a to BPIGEM but send to URS for annroval -if total lead value is>50 analvze for lead by STLC valuo is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes�C No Temperature Blank Yes�&No Cooler Temperature on Receipt_ oFIC Trip Blank Yes No <br /> Dta(rihnon "h,t:,Cop) Laboretor)!Yello%i,CopN-BPIGEM I Pnik Copy-Conbultanl Coittrector BP CCC Rev I 215102 <br />
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