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ARCHIVED REPORTS_XR0002993
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_XR0002993
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Entry Properties
Last modified
1/30/2020 8:16:06 PM
Creation date
1/30/2020 3:17:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002993
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Page_of <br /> } Chain of Custody Record s <br /> ite Time: <br /> bp Project Name Station No.548 site Time: Temp: <br /> .r... BP BU/GEM CO Portfolio. Atlantic Richfield Company �.. <br /> BP Laboratory Contract Number: lo ical Events:Date: IpRequested Due Date: NIA Direction: NIA <br /> Send To: BP/GEM Facie No.: 548 ltattt/Contractor: iJRS <br /> Lab Name: S uoia-Petaluma BP/GEM Facility Address: 1612 W.Hammer Lane,Stockton dress: 2870 Gateway Oaks Dr.,Ste 300 <br /> Lab Address: 1455 N.McDowell Blvd. Site ID No. ARCO 548 acramenio,CA 95833 <br /> Suite DS, <br /> LavLon : ail EDA: No EDF <br /> Petaluma,CA 95954 ifomia Global ID#: T0607700134 nsultant Project No.: 38466082.00327 <br /> Lab PM: An elee Cari BP/GEM PM Contact: Paul Supple nsultmtTele/Fax:916-679-20001679-2900 <br /> Tole/Fax: 707-792-75271707-792-0342Address; P.O.Box 6549 sultant PM: Vernon Elarih-916.679.2299 <br /> Re rt Type&QC Level: Level I Mora a,CA 94570 Invoice to: BP/GEM <br /> BP/GEM Account No.: Tele/Fox: 925.299.8891/925.299.6872 BPIGEM Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> ItemSample Description Time M Laboratory No. � � � Sample Point tat/Long and <br /> No. a o Comments <br /> o is00e <br /> 3 Q z <br /> 1 UW Total air IX I 1 X X x <br /> 2 ENF Cat Air x 1 X x x <br /> 3 EFF Air / X 1 X X X <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9A10 <br /> Sampler's Name: George Bradshaw RedinquisljO By liation ate me ccepted By/ on a ime <br /> Sam lets Company:URS Corporation o <br /> Shi Ment Date: <br /> Shipment Method: 44'c <br /> Shipment Tracking No: r SSS <br /> Special Instructions' <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> Distribution: Wbite Copy-Laboratory I Yellow Copy-BP/GEM I Pink Copy-Consultant/Contractor BP COC Rev.1 215102 <br />
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