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ARCHIVED REPORTS_XR0011312
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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ARCHIVED REPORTS_XR0011312
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Entry Properties
Last modified
2/3/2020 2:52:50 PM
Creation date
2/3/2020 12:32:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011312
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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,,M.... <br /> C* OL*V '��W_7 <br /> .San Francisco 41 <br /> >hain Of Custody Record �« <br /> 7INVOICE <br /> lips Site Manager: Jilpsltrk�D <br /> 1220 Quarry Lane MITTANCE ADDRESS: J <br /> CONOCOPHILLIPS / DATE; <br /> ¢ a ° <br /> Pleasanton, CA 94566Attn: Dee Hutchinson oirrb � � 4ij: <br /> 3611 South Harbor,Suite 200 PAGE: D{ <br /> (925)484-1919 (925)484-1096 fax Santa Ana,CA, 92704 <br /> SAMPLING COMPANY: valid Vglye 10: CONOCOPHILLIPS SITE NUMBER GLOBAL ID NO.: <br /> TRC �7 <br /> ADDRESS; SITE ADDRESS(Sired and Cityl: Go NOCOPHILLIPS SITE MANAGER; <br /> 21 Technology Drive,Irvine CA 92618 14('fVz> 1-1• �6— I <br /> PROJECT CONTACT(Hardcopy or PDF Repast to): <br /> s� , <br /> EDF DELIVERABLE TO RP or Das e: IPHONEWO.: E4 WL:Anju FarFan ( I <br /> TELEPHONE: FAQ(; E-MAIL; Peter Thomson,TRC 949-341-7408 3° �!' <br /> 949.341-7440 949-763-0111 afarfan@tresoiutions.com pthomson@tresolutions.com <br /> SAMPLER NAME(S)(Prim(; CONSULTANT PROJECT NUMBER <br /> 41D50001lFA20 REQUESTED ANALYSES <br /> TUR R UND TIME(CALENDAR DAYS): .N. <br /> 14 DAYS 13 7 DAYS [] 72 HOURS 0 46 HOURS [3 24 HOURS[3 LESS THAN 24 HOURS M c w a <br /> K x o x FIELD NOTES: <br /> SPECIAL INSTRUCTIONS OR NOTES: CHECK BOX iF EDD IS NEEDED ja W 0 ° 9 ❑ <br /> c CO — 00 m (9 Container/Preservative <br /> X X O — M J orPIO Readings <br /> W F H 0. I j or Laboratory Notes <br /> w '7 ❑ <br /> V m o, tm C U) 41m a <br /> � 0 <br /> a.a. I0.- a.a. CL e ti O N m ~ <br /> Field Point name ons re wired iI different from Sample ID E In m m w m ro . ❑ <br /> amp a en I Ica On le Owi SAMPLING NO.OF b m b ti In TEMPER TUREONRECEIPT C° <br /> 4kG <br /> Name* DATE TIME <br /> MATRIX CONT. m coNm w + m ,E m CO —1 <br /> 1 J66 14q,-31 <br /> MW <br /> [2 11' <br /> [121/3 s <br /> tn <br /> � Swr 2,Q (12o <br /> i7E.! yy <br /> M VV- 15 lo�� <br /> MVI(- 16 It o2 <br /> Ll 9 <br /> 4L <br /> =��'ill,,J= <br /> Rellnquiahed by:(Signalvra) Received y:(Signabve) Date: Time: <br /> La <br /> heli Wshed by.(SVpna ecelved by:(Slpnalure Date: Tlme: <br /> Rehnqushed by:(Signature) Re IV b i e) - Date: Time: <br /> 911DVI Revision <br />
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