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ARCHIVED REPORTS_XR0007560
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_XR0007560
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Entry Properties
Last modified
6/8/2020 11:33:55 AM
Creation date
6/8/2020 9:52:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007560
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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LSauers
Tags
EHD - Public
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0 • v Pase <br /> Chain of Custody RecordOn-site Time Teal <br /> Project Name ARCO 2093 GW MonitoringOff-site Time T <br /> � <br /> bp Cm RP BU/GENT CO Poi tfoho: Retail Sky Condstions ,�r <br /> BP Laboratory Contract Nunibe> : Atlantic Richfield Co Meteorol2gical Events <br /> Date j��t7y- Requested Due Date(mm/dd/yy) Wind Speed Direction 0 <br /> Send ToBP/GEM Facilq No ARCO 2093 onsultant/Contractor URS <br /> Lab Name SEQUOIABP/GEM Facility Address 3425 TRACY BLVD,TRACY,CA Address 2870 Gatewa Oaks Dr,Ste 300 <br /> Lab Address 1455 N McDowell Blvd Suite D Site ID No ARCO 2093 Sacramento,CA 95833 <br /> Petaluma,CA 94954 Site Lat/Lon -mail EDD denise ee ursco com <br /> California Global ID# T0607700036 nsaltant/Contractor Project No <br /> Lab PM An eiee CanBP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-23871916-679-2900 <br /> Tele/Fax 707-792-18651707-792-0342 ddress P O Box 6549 onsultant/Contractor PM VERN E <br /> e rt Type&QC Level Send EDF LcRortsI Mora a,CA 94570 Invoice to Consultant/Contractor SP/GEM irele one) <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872OP/GEM Work Release No intnm-50265 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> W <br /> x' O o0 N <br /> Item No Sample Description Time -a a Laboratory No o 80 Sample Point Lot/[long and <br /> o " " O Z F- Comments <br /> z0 "ail It c <br /> 1 - 1 <br /> 2 �6n I Ia 2 <br /> 3 <br /> 4 .e .to <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> am let's Name Relinquished B 1 Affiliation ata ime ce ted By 1 Affiliation Date Time <br /> Sam ler's Com any <br /> c <br /> Shipment Date c <br /> Sht went Method C <br /> t �'2 <br /> SM meet Tracking NoZ f-,0 <br /> Special Instructions• Address Invoice to BPIGEM but send to URS for approval -If total lead value is>50 analyse for lead by STLC.value Is>5 analyze for lead by TCLP <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> ILUstody Seals In Place Yes V- No Temperature Blank Yes 4 No Cooler Temperature on Receipt_ oFIC Tnp Blank Yes Na <br /> Distnbicon Whitc Co Laboratory/Yellow Copy-BP/GEM !Pink Copy-ConsultantlContwctor BP COC Rev I 2/5M <br />
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