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ARCHIVED REPORTS XR0001812
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 XR0001812
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Entry Properties
Last modified
5/20/2019 2:38:57 PM
Creation date
5/20/2019 2:10:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001812
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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• • <br /> Page I of I <br /> 1 Chain of Custody Record on-site Time Tem <br /> � ProjectName ARCO 760 GW Monitoring off site Time Ten, <br /> ¢ BP BU/GEM CO Portfolio Retail Sky Conditions c/4�r <br /> BP Laboratory Contract Number: Atlantic Richfield Co. eteorolojucal Events <br /> Date: 1-7. 1— L4VII �T Requested Due Date(mmtddlyy) �, rl4>✓e;r Wind Speed p Direction <br /> Send To: BP/GEM Facility No ARCO 760Consultant/Contractor URS <br /> Lab Name SEQUOIA113P/GEM Faciltty Address 225 S Cherokee Ln ,LODI,CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 760 Sacramento, CA 96833 <br /> Petaluma,CA 94954 S1teLat/Lon e-mail EDD denise ee ursco com <br /> ahforma Global ID N 70607700245Consultant/Contractor Project No <br /> Lab PM An elee CanBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871916-679-2900 <br /> ele(Fax 707-792-18651707-792-0342 Address P O Box 6549 onsultant/Contractor PM VERN E <br /> R wrte&QC Level Level 1 Mora a,CA 84574 Invowe to Consultant/Contractor BWGEM ,role one) <br /> BP/GEM Account No TeldFax 925-299.8891/925-299-8872 P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> �3 Q <br /> N $ m <br /> Item No. Sample Description Time v 4 Laboratory No LU ov N a0 Q Sample Point LatfLong and <br /> Comments <br /> a P <br /> s 6 0 <br /> � O <br /> V � z x x m F R, AN <br /> 1 w - Ft15, <br /> 2 f 7� L. f0 X x K 7c <br /> 3 r►tw tszo X ?� X rc <br /> 4 X z X <br /> 5 <br /> G MOLFRCl3T01W SIITA-m , <br /> 7 � 4 <br /> 8 <br /> 9 COOLERTI <br /> 10 <br /> Sampler's Name epi i S /bac K K Relinquished B /Affiliation Lte Time AcepptK B /Affiliation Date me <br /> Sampler's Com an /a'., 'Tr.i, ��-�- <br /> Shipment Date Z f r 1p (- t #L Mo <br /> D <br /> Sht ment Method <br /> Shipment Trackmg No, 6440 <br /> Z� <br /> Special Instructions Address Invoice to BP/GEM but send to URS for approve) - total lead value is X54 analyze for lead by STLC,value is> ar►alyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt F/C Tnp Blank Yeah No <br /> istnbution White Copy Laboratory/Yellow Copy-$P/GEM f Consultant/Conu=lor BP COC Rev I 115102 <br /> C A /" n ., .� r ,.�,.� , r"n—11 . ln.•L I^A <br />
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