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ARCHIVED REPORTS_XR0011175
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0505663
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ARCHIVED REPORTS_XR0011175
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Entry Properties
Last modified
1/9/2020 11:59:21 AM
Creation date
1/9/2020 11:50:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011175
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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Page t of <br /> hAA Chain of Custody RecordOn-site Time: Tem : <br /> bp Project Name ARCO 5450 GW Monitoring Off site Time: Temp: <br /> BP BU/GEM CO Portfolio: Retail Sky Conditions: <br /> BP Laboratory Contract Number: Atlantic Richfield Co. Meteorological Events: <br /> VAddmss: <br /> Requested Due Date(mm/dd/yy ind Speed: Direction: <br /> P/GEM Facili No_: ARCO 5450 Consultant/Contractor: URS <br /> QUOIA P/GEM Facili Address: 1617W. FREMONT ST,STOCKTON,CA ddress: 2870 Gatewa Oaks Dr., Ste 300 <br /> 55 N. McDowell Blvd. Suite D Site ID No. ARCO 5450 Sacramento,CA 95833 <br /> aluma, CA 94954 Site Lat/Lon : mail EDD: denise.yee@urscorp.com <br /> California Global ID#; T0607791886Consultant/Contractor Project No.: <br /> Lab PM: An elee Cali BP/GEM PM Contact: PAUL SUPPLE Consultant Tcle/Fax: 916-679-23871916-679-2900 <br /> elelFax: 707-792-18651707-792-0342 Address. P.O.Box 6549 Con sultant/Contractor PM: VERN E <br /> Report 1XRe& C Level: Level 1 Mora a, CA 94570 Invoiceto: Consul tant/Contractor BP/GEM ircie one) <br /> BP/GEM Account No,: elelFax: 925-299-88911925-299-887212P/GEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> m <br /> a � <br /> s w CD no LdLQ <br /> Item No. Sample Description Timev_ aboratory No. o C-4Q Sample Point LatlLong and <br /> o v ❑ F m Q Comments <br /> rq 9 c p <br /> 4» Oi w <br /> C2r� Q Z :D � oNo Fn- [�cl O N o�`o <br /> 1 52 <br /> 2 jva <br /> 3 <br /> 4 <br /> 5 <br /> 7 ,. <br /> g --� - <br /> 9 <br /> 10 <br /> Sampler's Nam fate ime3fi / <br /> Sampler's Com any: C- d 0 ZX 7v,1 07clo <br /> Shipment Date: t t? d0 7aU <br /> Shi mens Method: ^ ` <br /> Shi mens Tracking No: <br /> Recial Instructions: Address Invoice to BP/GEM but send to URS for approval -If total lead value is X50 analyze for lead by STLC,value is?5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals In Place Yeg>c No Temperature BIank Yeses No Cooler Temperature on Receipt FIC Trip Blank Yeses No <br /> Distribution: White Copy-Laboratory/Yellow Copy-BF/GEM I Pink Copy-ConsultantlContractor BP COC Rev.1 2!5/02 <br />
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