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ARCHIVED REPORTS_XR0002996
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_XR0002996
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Entry Properties
Last modified
1/30/2020 7:53:07 PM
Creation date
1/30/2020 3:20:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002996
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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Pa-e of r <br /> Chain of�1<1:stc�c� ��er�:o�-d _._. ..� <br /> "® J OIl site rime: 2�o V111. <br /> Project Name ARCO 548 GW Monitoring Off-site Time: Tem <br /> 13P 13U/G1' JN1' CO Pot-tfolio: Atlantic Richfield Co. Sky Conditions: <br /> 13P Labora.lot•,;' Contratet Number: 46111011 Meteorological Events: V{.d <br /> Requested Due Date(mm/dd/yy)_ti tl.tie Ge�� Wind Speed: Z :K h Direction: W <br /> Send To: BPIGEM FaciIit,No.: ARCA 548 Consultant/Contractor: URS <br /> Lab Name: Se uois Petaluma BP/GEM FacilltlAddress: 1612 HAMMER LN, STOCKTON, CAAddress: 2869 Gateway Oaks Dr_, Ste 300 <br /> Lab address: 1454 N.McDowell Blvd. Suite D JISite Ill No. ARCO 548 Sacramento,CA 95832 <br /> Petaluma, CA 94953 Sile LadLon : c-mail EMdenise ee urscor .com <br /> California Global ID K: T0607700134 Consultant/Contractor Project No.: <br /> Lab PM: Mike Giles BP/GEM PNI Contact: PAUL SUPPLE onsultant Tele/FaN: 916-679-20001916-679-2899 <br /> elc/Fax: 707-792-1865 1707-792-0341 ddress: P.O. Box 6548 onsu hant/Con tractor PM: VERN E <br /> Re on Tv &'OC Level:Level I Report EDF Mora a, CA 94569 Invoice io: Consuhant/Conlractor o Bl'/GEtvl ircfcone) <br /> BP/GENII Account No.: Telc/Fax: 925-299-8891/925-299-8871BP/GENII Work Release No: <br /> Lab Bottle Order No: Matrix Preservatives Requested Analysis <br /> u <br /> a cc <br /> 5ampltDescription _ — - Laborator}'ho. ^' — a y �' <br /> No. U, < Sample Point E ttdLong and <br /> u = w _w f �^ Comments <br /> z j O J O N G m L <br /> 3 i fb- 5UIb 12t3'zacK 1y�r3 w I .0 ,U t it <br /> 7 <br /> a <br /> la <br /> Saul let's Name: Relin uished 8y/Aftilintion Dntc ime Aces red By/Affiliation hate ime <br /> Sam ler's Com any; <br /> Shi hent Date: <br /> Shi nlent Method: <br /> !Shipment Tracking No: <br /> Snecial Instructions: Address Invoice to BP/GEM but send to URS for anoroval <br /> RLTN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes--f< No Temperature Blank Yes ?� No Cooler Temperature on Receipt uF/C Trip Blank Yes_ No <br /> Distribution: White Copy-Lahoratmv/Yellow Cope-[3P/GEN1 /Pink Cope-Consultant/Contractor R1'COC Rev.3 II!]Sltl3 <br />
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