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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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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
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SJGOV\sballwahn
Tags
EHD - Public
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• ! 1 <br /> Yage�of <br /> Chain of Custody Record On-site Time: JD Temp: 9N/A Wbp Y �Project Name Station Flo. 548 off-site Time: J Temp: <br /> BP BU/GEMCO Portfolio: Atlantic Richfield Company Sky Conditions:BP Laboratory Contract Number: Meteorological Events: oDate- � P e Requested Due Date: > Wind 5 eed: NIA Direction: <br /> Send To: BP/GEM Facility No.: 548 onsultant/Contractor: URS Co <br /> Lab Name: Sequoia-Petaluma BP/GEl%l Facility •Address: 1612 W.Hammer Lane,Stockton Address: 2870 Gateway Oaks Dr.,Ste 3 0 <br /> Lab Address: 1455 N.McDowell Blvd. Site ID No. ARCO 548 Sacramento,CA 95833 <br /> Suite D Site Lat/Lon : mail EDD: No EDF <br /> Petaluma,CA 95954 California Global ID ti: T0607700134 Consultant Project No.: 38466082.00327 <br /> Lab PM; Angelee Cari BP/GEM PM Contact. Paul Su lc ConsultantTele/Fax:916-679-2000!679-2900 <br /> Tele/F&x; 707-792-75271707-792-0342 Address: P.O.Bos 6549 Consultant PM. Vernon Elarth-916.679.2299 <br /> Re ori T e&QC Level: Level I Mora a,CA 94570 Invoice to: BP/GEM <br /> BP/GEHt Account No.: Tele/Fax: 925.299.8891 1925.299.8872 BP/GEM Work Release No: <br /> Lab Bottle Order No: tllatrix Preservatives Requested Analysis <br /> a' <br /> Sample Point Lat/Long and <br /> Item <br /> Sample Description Time -"' LabotmtGry No. c co <br /> p p $ n a Comments <br /> No, b c 4 g � opo <br /> w W <br /> bo <br /> 3 <br /> <1 z x <br /> I INF Total Air �' X 1 x X X —O <br /> 2 11,TF Cat Air xg re Ix I X I X I Ix (J <br /> 3 1 EFF Air X 1 X I Ix p.3 <br /> 4 <br /> i <br /> 5 <br /> i <br /> 6 <br /> 8 <br /> i 9 <br /> ]0 <br /> Sampler's Name: Georgi'Bradshaw itelinq%d Bg! iatiot ate imc accepted By!Atnl" tion ale me <br /> _w- <br /> Sampler's Company:URS CorporatioAA <br /> n <br /> oo <br /> Shipment Date: <br /> Shipment Method: <br /> Shipment Tracking No: 2 <br /> Special Imtructions: <br /> Custody Seals In Place Yes No_ Temperature Blank Yes __No Cooler Temperature on Receipt of/C Trip Blank Yes No <br /> Distribution: White Copy-LAboratory/Yellow Copy-BP/GEM /Pink Copy-Consultant/Contractor BP COC Rev.1 2t5102 <br />
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