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ARCHIVED REPORTS_XR0002990
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1612
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3500 - Local Oversight Program
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PR0545246
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ARCHIVED REPORTS_XR0002990
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Entry Properties
Last modified
1/30/2020 8:52:45 PM
Creation date
1/30/2020 3:12:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002990
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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bpChain of Custody Reco-rd On-sit- Time: I q0 U Tomp: D <br /> Project Narne Station No.548 Off-site rime: Temp: <br /> BP BU/GEM C Portfolio: Atlantic Richfield Company js� s Conditions: Q �� (�,-471 <br /> I BP Laboratory Contract Number: Metoorolo .cal Events: 111 <br /> Date: Q Requested SlueDate: ,Z W k. wind S <br /> ,ter, T- �•T. NIA Direction: NIA <br /> `--y Send To: 9P/GEM Facili No.: 546 <br /> Lab Name: ousttiltanUConlrootor: URSC <br /> Se uoia-Petaluma BP/GEM FacilityAddress: 1612 W.Hammer Lan-,Stockton ddr-ss: 2870 Oalewa Oaks Dr.,Ste 3 0 <br /> Lab Address: 1455 N.McDowell Blvd. Site ID No. ARCO 548 Sacramento,CA 95833 <br /> Suite D Sito LatfLon : e-mail EDD: No EDF <br /> Petaluma,CA 95954 rCalifomialobal ID ii: 70607700134 Consultant Pm'ect No.: 38466082.00327 <br /> Lab PM: Aleo Cri Contact: Paul Su leConsultand'-le/Fax;916.679-20001679-2900 <br /> T-le/Fax: 707-792-75271707-792-0342 P.O.Box 6549 Consultant PIN: Vernon Elarth-916.679.2299 <br /> Re rt T e& C Lml: Level I Mora CA 94570 Invoice ta: BP/GEM <br /> BP/GEtb1 Account No.: 925-299-8391/925.299.8a72 IiPlGEIM Work Re[-ase Na: <br /> Lab Bottle Order No: biota Ix Preservath cs Requested Analysis <br /> xQ <br /> Itcnr � <br /> No Sample Duct lPtion Time 5 Laboratory No. �, SamPlc Point Lat/Long and <br /> 1 e Conunents <br /> 1-0 <br /> z x <br /> I <br /> 2 INP Gat Air OrrX I X X X I� <br /> 3 EFF Air : `(!!YS— X I X }{ X �d-- <br /> 9 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: George Bradslra�r Rolln ulahcd B 1 Artillalion ala Me ccept�l By l ArnElat[nn <br /> flare fine <br /> Sam let's Company:URS Corporation t f1 <br /> Shipment Date: [ / <br /> Shipment Method: <br /> Shipment Tmckin5 No 3 2tf 0 <br /> Special Instruetlons- <br /> Custod Seals In Place Yes No Temperature Blrutk Yes No Cooler Temperature on Receipt og/C TriBlank Ye.. No <br /> Distribution: White Copy-Labomtory/Yellow Copy-BP/GEM /Pink Copy-COnSUltant/Contractor <br /> BP COC Rat.I VS102 <br />
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