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ARCHIVED REPORTS_XR0001996
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAMMER
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2900 - Site Mitigation Program
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PR0505509
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ARCHIVED REPORTS_XR0001996
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Entry Properties
Last modified
1/29/2020 12:16:38 PM
Creation date
1/29/2020 11:37:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001996
RECORD_ID
PR0505509
PE
2950
FACILITY_ID
FA0006824
FACILITY_NAME
BP STATION #11191
STREET_NUMBER
1469
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818030
CURRENT_STATUS
02
SITE_LOCATION
1469 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Tags
EHD - Public
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• Chain of Custod ccord Pag' <br /> bp Project Name: BP 11191 GW Quarterly <br /> On-site lime YS Te' <br /> BP BU/A,R Region/lianfos Segment Bp>pmel{ms>West Coast>Relan>WCBU>CA ff-site Time 1*0,5,- Ter <br /> >Central>11191>HWodcatBL Sky Conditions <br /> State or Lead Regulatory Agency: San Joaquln County Environmental Management Dept Meteorological Events <br /> Requested Due Date(mmlddlyy). Wind 5 Direction <br /> ow J <br /> Lab Name Sequoia WAR Facility No 11191 nsultent/Contractor URS <br /> res <br /> dds 1455 N McDowell Blvd,Suite D P/AR Facility Address 1469 E hammer Lana Stockton CA 95210 ddrm 2870 Gateway Oaks Drive,Suite 300 <br /> Sacramento,CA 95833 <br /> Petaluma,CA 94954 de Lat/Lon NIA <br /> Lab onsultant/ContractorProectNo 38466551 <br /> PM Robert Butler iforriia Global ID No 70607700333 <br /> le/Fax 707 7921865/707 792 0342 <br /> as Pro eat No G07WW-0016 onsultant/Contractor PM Vernon Elarih <br /> SP/AR PM Contact Paul Supple, vision or RCOP Provision Tele/Fax 916 717 50451916 G79 2900 <br /> ddress P O Box 6549 PhaseMBS 04-Mon/Remed by Natural Attenuation Report Type&QC Level Level 1 with EDF <br /> Moraga,CA 94570 ub Phasdrask 03-Analytical E-mail EDD To Denise YeeCnlugM com <br /> t lelFax 925 299 68911925 299 8872 st Element 05-Subcontracted Costs oicc to Altantic Richfield Co �'� <br /> Lab Bottle Order No Matrix Preservative Requested Analysis r, 6(,r <br /> _ o c:, <br /> $ ry <br /> Sample Point LatlLong and Commenti <br /> Idem Sample Description Laboratory No <br /> .. d <br /> L.1 .. o <br /> U) <br /> ° <br /> N <br /> e 1 w"1 l�v� SI1t of <br /> +F 2 �,-�- IZss n� J ✓ � � <br /> 3 <br /> � a w,�- 13'(5 (� d ✓ V ✓ <br /> 5 �,w.�'' 12 .�f ✓ ✓ J <br /> Nw-(L? v 4 ✓ ✓ ✓ ✓ <br /> 7 - 1100 �r V J <br /> g �h hof r� <br /> 19^11191 -051! <br /> Zaar o� 2 <br /> 9 <br /> to <br /> Sampler's Name M„,�yi Relinquished>3 /Affiliation ate Tlme Accepted By!Affiliation ate Time <br /> a _ a <br /> Sampler's Company at ne. GCS 5dG <br /> Shipment Date Lj -1t 2a l ° <br /> Shipment Method <br /> Slit ment Tracking No <br /> ectal Instruehons' <br /> Tem Blank Yes No Cooler Temperature on Receipt S�-° Tri Blank Yes No <br /> Custod Seals In Place Yes No 13P Coe Rev 4 tt}!llQ4 <br /> Distribution White Copy-Laboratory/Yellow Copy-$P/Atlantic Richfield Co 1 Ptnk Copy-Consultant/Contractor <br />
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