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ARCHIVED REPORTS_XR0011168
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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1617
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2900 - Site Mitigation Program
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PR0505663
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ARCHIVED REPORTS_XR0011168
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Entry Properties
Last modified
1/9/2020 11:57:55 AM
Creation date
1/9/2020 11:38:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011168
RECORD_ID
PR0505663
PE
2950
FACILITY_ID
FA0006930
FACILITY_NAME
ARCO PRODUCTS CO #5450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
02
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Chain of Custody0cord Pag,—L of <br /> ,jod �� MConditdons: <br /> Tem <br /> Project Marne: ARCO 5450 GW Quarterlybr]O� s Tem <br /> -04e bp BP BU/ARRegion/Enfes Segment: BP>AmeAces>West Coast>Retail>WCBU>CA ir0✓>Central>5450>KistorlcalM <br /> State or Lead Regulatory Agency: Sen Joaquin County Ernlronmental Management aepl ' , Direction: <br /> Requested Due Date(mm/ddlyy): <br /> Fddrws: <br /> Name:5e uoiaP/AR Faci13 No.: 5450 nsuitant/Contractor. URS <br /> 3455 N.McDowe4 Blvd. Suite D Fmont Street,Stockton GA 95203 ddress: 2870 Gatewa Oaks Drive ite LatlLon : N/A Sacramento,CA 95833 <br /> Petaluma,CA 94954 ltant/Contractor ProrA No.: 38466533 <br /> PM:Robert Butler alifornia Global l D No.: T4607791$$6 Jeffrey Brooks <br /> nfos Project No.: GOBZN-0001 on sultant/Contractor PM: <br /> Y <br /> ele(Fax:707.792.1965 1707.792.0342 ele/Fax: . 916,679.23831916.679. 900 <br /> MAR PM Contact.:Paul Su le aseA n or RCGP: Provision <br /> Cd e& C Level: Level t with EDF <br /> ddress:P.O.Box 6549 hseJWBS: 44-MonlRemed b Natural Attenuation mW EDD To: Denise Y rs .rnm <br /> Mora a,CA 94570 phascask: 43-Analytical <br /> osnt: 43-Subcontracted Costs voice tv: Atlantic Richfiald Co <br /> ele/Fax:925.299.8891/925.299.8872 ost Element: Preservative Itequested Analysis <br /> Lab 13ottie Order No- Matrix H� <br /> � N- <br /> r. o <br /> N <br /> Samp a Point Lat/Long and Comment <br /> ItemSample peseriQt'ion A Laboratory No. <br /> No. o O t$ C3 <br /> x � x <br /> K <br /> 2 �W ��� <br /> � K xx <br /> 3 U-4 it b <br /> e+u j <br /> 4 v5 e <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 10 Date Time Ac B foliation Dat Time <br /> ROW tshed By l ffi atlon <br /> Sampler's Name: ` <br /> Sam let's Com any: N <br /> Shi meet Date: <br /> hi ment Method; <br /> Shi meat Trackin No: <br /> ecial instructions: <br /> Tem Blank Yes o Cooler Temperature on Receipt '�. °F Tri Blank Yes a <br /> ustod Seals In Place Yes No <br /> or RP COC Rev.4 1011104 <br /> pistributiOn: White CoQy-Laboratory/Yellow Copy-BP/Atlantic Richfield Co. /['ink Copy-Cansultant/Conirack <br />
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