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ARCHIVED REPORTS_XR0007553
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3425
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3500 - Local Oversight Program
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PR0545737
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ARCHIVED REPORTS_XR0007553
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Entry Properties
Last modified
6/8/2020 11:39:16 AM
Creation date
6/8/2020 9:49:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007553
RECORD_ID
PR0545737
PE
3528
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
02
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Pase of <br /> Chain of Custody Record n-site Time Tem <br /> bp <br /> ZProject Name ARCO 2093 GW Monitoring ff site Time Teiti <br /> � BP i3U1GCN1 CO i'o>E tfollo: Rctail k Conditions e, <br /> BP Laboratory Contract Numbet: Atlantic Richfield Co etearolo ical Events <br /> Date Requested Due Date(mmlddlyy) Wind Speed Direction (J <br /> Send To, BP/GEM Facility No ARCO 2093Consultant/Contractor URS <br /> L,ib Name SEQUOIABP/GEM Facility Address 3425 TRACY BLVD,TRACY,CA Address 2870 Gateway Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site 1D No ARCO 2093 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Site LatlLon -mail EDD deniseyee@urscorp com <br /> Cali Global ID# 70607700036Consultant/Contractor Project No <br /> Lab PM An elect CanBP/GEM PM Contact PAUL SUPPLE nsultantTele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 Address P Q Box 6549Consultant/Contractor PM VERN E <br /> Report T e&QC Level Send EDF RortsMora a, CA 94570 nvoice to Consultant/Contractor BP/GEM Ircle ane) <br /> BPIGEM Account No TeWFax 925-299-88911925-299-8872 JOP/GEM Work Release No Intrim-50265 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> w <br /> a <br /> O 0 N <br /> Item No Sample Description Time -a 4 aboratory No o °O Q Sample Point Lath ong and <br /> 0 Z Fa CU<� Comments <br /> p <br /> 3 � ¢ z I t x <br /> I - m <br /> 2 s 2 <br /> 3 >4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name 151-., p Relin uished B /Affiliation ate rime ce ted B !Affiliation Date Time <br /> Sam lei's Company 2a. 'c — G] <br /> h1 ment Date E -7 A C q <br /> Shipment Method c- <br /> g�2 <br /> She meet Trackin No � 14_ <br /> ZY7qK —0,4-Q <br /> Special Instructions Address invoice to BPIGEM but send to URS for approval -If total lead value is>50 analyze for lead by mc.value Is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ustody Seals in Place Yes �L No Temperature Blank Yes_{ No Cooler Temperature on Receipt OFT Trip Blank Yes No <br /> Dsgnbtion White Co LaboVry/Yellow Copy-BP/GEM l Pink Copy-Consultant/Contractor BP COC Rev 1 7JS102 <br /> ',.A r U ars,Z r 0 -A 0,4 A/V4^A , ,cion 0— n� <br />
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