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COMPLIANCE INFO_2008 - 2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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2300 - Underground Storage Tank Program
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PR0231455
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COMPLIANCE INFO_2008 - 2009
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Entry Properties
Last modified
5/5/2020 4:03:53 PM
Creation date
5/4/2020 9:32:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 - 2009
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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Page of�- <br /> ian C Chain of Custody Record On-site Time p, <br /> ch field 9 O J Temp: 910 <br /> Project Name: ARCO 6020 Manteca, CA(Soil Sampling) Off-site Time: �D�� Tem <br /> J10impany BP BU/AR Region/Enfos Segment: Los Angeles Portfolio-West Sky Conditions: <br /> bpState or Lead Regulatory Agency: SJ County of Environmental Health Meteorological Events: N✓1 <br /> A BP affiliated company <br /> Requested Due Date(mm/dd/yy): ind Speed: . Direction. N11 <br /> Lab Name:Test America-Irvine BP/AR Facility No.: 6020 Consultant/Contractor:GES <br /> Address: 17461 Derian Avenue,Suite 10013P/AR Facility Address: 1711 Yosemite Avenue,Manteca,CAAddress: 1323 S. Shamrock Avenue <br /> Irvine,CA 92614 Site Lat/Lon : Monrovia, CA 91016 <br /> Lab PM:Pat Abe/Kathleen Robb California Global ID No.: Con sultant/Contractor Project No.. <br /> Tele/Fax:949-261-1022 x 221,x218 Enfos Project No.: Consultant/Contractor PM:Peter Shair <br /> P/AR EBM:Don Pratt Provision: RCOP OOCTele/Fax: 866 507-1411 x3805 <br /> Address:4 Centerpoiril Drive PhaseANBS: Compliance BU 06 Report Type 8 QC Level: <br /> LaPalma,CA 90623 Sub Phase/Task: E-mail EDD To: The Source Group,Inc. <br /> Tele/Fax:714-670-5185 Cost Element: Invoiceto: Consultant or BP or Atlantic Richfield Co. drele one <br /> Lab Botta Order No: Matrix Preservative Requested AnA sis <br /> 0 A <br /> m t �� <br /> N N U <br /> N (0 - N LL m 0 Q <br /> kem m 00 0 F 617— c rri to Sample Point LaULong and <br /> No. Sample Description E m -o Laboratory No. .c o c� c14 w Z o o -w <br /> ocv v >_ z M o F-- co Comments <br /> 0 2:0 <br /> ci <br /> L_Z_ <br /> ai mUU wo0wHn 0 O O a� O cvcn Q _ _ _ Ce ~ cn = m <br /> 1 TB60206--l —O�I� �S "— I� X <br /> 2 EB6020 �03D l C16 X X <br /> 3 'Co �i i — �o-10 X <br /> �t. X <br /> 4 <br /> 5 -2 q`tg X <br /> 6 tj1 - 3 95-3 l3-o S <br /> 7 l o0o I fi S � <br /> g — L5 loos <br /> 9 Dl- to 11010 ?� X <br /> 10 Z— 5o5D i � <br /> Sampler's Name: Relinquished By lAffillation Date Time Acce B /Affillabon Date 71me <br /> Samplers Company: GES <br /> Shipment Date: U <br /> Shipment Method: Fed <br /> Shipment Tracking No: 01 © D <br /> tial Instructions: <br /> CustqdLv Seals In Place:Yes No Tem Blank:Yes oZ I Cooler Tem on Recei t: °F/C I Trip Blan Yes No I MS/MSD Sam le Submitted:Yes/ o <br /> HP COC R".5 10/11/1006 <br /> A7 <br />
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