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ARCHIVED REPORTS_XR0011178
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_XR0011178
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Entry Properties
Last modified
1/9/2020 11:59:42 AM
Creation date
1/9/2020 11:50:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011178
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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P,- u r or <br /> —�p <br /> Chain Of CUstody Record On-site Time: / T-M : f 6 <br /> Project Name AABCO 5450 GW il%Janitoring-- TOff-site Time:bp <br /> ,zil <br /> t;� ,�-✓cam.s,� <br /> ' @ BP BU/GEM. CO Portfolio: Retail Sky Conditions: 0 <br /> BP Laboratory Contract Number: Atlantic Richfield Co. Meteorolo ical Events: <br /> 1 Date; 11A10 _ Requested Due:Date(m wd uyy) s9�•�o�a-ia� Wind 5 ecd: - Diroctian: <br /> `Send To: BP/GEM Facility No.: ARCO 5450 Consultant/Contractov: URS <br /> Lab Name: SEQUOIA BPIGEM Facility Address: 1617 W.FREMONT ST,STOCKTON,CA Address: 2870 Gateway Oaks Dr.,Ste 300 <br /> Lab Address: 1455 N..McDowell Blvd, Suite D Site ID No. ARCO 5450 Sacramento,CA 95633 <br /> Petaluma, CA 94954 Site Lot/Lon -mail EDD: denise ee urscar ,GQm <br /> California Global ID e: T0607791886 onsultant/Contractor Project No.: <br /> Lab PM: Arl else Carl BP/GEM PM Contact: PAUL.SUPPLE Consultant Tele/Fax: 916-679-2387/916-679-2900 <br /> Tele/Fax: 707-792-1865/707-792-0342 Address: P.O.Box 6549 onsultant/Contractor PM: VERN E <br /> Report T e&OC Level:Level I Mora a,CA 94570 Invoice to: Consul tant/Contractor iBPIGEM irctc ounp <br /> BP/GEM Account No.; c1rJFax: 925-299-88911925-299-8872 11BP/GEM Wort:Release No; <br /> Lab Bottle Order No; Matrix Preservatives Requested Analysts <br /> p x o La <br /> C, ,a °� tt' Sample Point Lnt/Long and <br /> Item No. Sample Description Time -9 Laboratory No. o � � m p � d 4 3 <br /> o :.a 1'i v f. ¢ Comments <br /> E a C5 o t cu <br /> 3Q z x <br /> a. r4 H <br /> /610Vol6 ,( — <br /> 2 6,Z ZF 7- 6 ,l ✓ <br /> 3 /4-h' LLSO 3 6 <br /> 4 ,6-5Y-V-11OQ v.3 --- .1 Ice <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: Y /eZvL Rolla u ed 8 Affiliation Datc lme CCG ted 1 Afftllatien Date Time <br /> Sampler's Com an : <br /> hi mtnt Date: <br /> Shipment Method: <br /> Sbi ment Tracking Info: <br /> necial Instructions:.Address Invoice to BP/GEl1I but send to URS for a vroval -It total lead value Is>50 analyze for lend by STLC.value Is>S analyze for leas! by TCLP <br /> RUN 8260 AL S IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt >~/C Trip Blank fifesNo <br /> oistribution: White Copy•Laboratory/Yellow Copy-BPIGEM I Pink Copy-Consultant/Contnelor tiP COC Rev.1 VsIQ3 <br />
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