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ARCHIVED REPORTS_XR0007562
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_XR0007562
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Entry Properties
Last modified
6/8/2020 11:42:15 AM
Creation date
6/8/2020 9:53:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007562
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
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EHD - Public
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• � �1 S�o3a IaD�-ins-- \ paSe�o� <br /> ` Chain of Custody Record On-site Time " L) Tem 'I o•-? <br /> bp Project Name } '� La o��ri� _ Off-site Time Z�tl� Tem % 5.1 <br /> '� TSP BU/GEM CO Portfolio: Atlantic Richfield Co Sk conditions C_\-4-4%.^- <br /> BP Laboi atol Conti act Number imetemological.Events lP\v v-_A_ <br /> Date (0' Requested Due Date(mmlddlyy) 4- ind 5 eed 1l.0401- Direction S <br /> Send ToBP/GEM Facility No Consultant/Contractor URS <br /> Lab Name SEQUOIA BP/GEM Facility Address 3425 TRACY BLVD TRACY, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> Lab Addiess 1455 N McDowell Blvd Suite D Site ID No ARCO 2093 Sacramento CA 95833 <br /> Petaluma, CA 94954 Site e-mail EDD denrse yee@urscorp com <br /> California Global ID#___D T0607700036 Consultant/Contractor Project No <br /> Lab PM An elee Can BP/GEM PM Contact PAUL SUPPLE Consultant Tele/Fax 916-679-2387 J 916-679-2900 <br /> Tele Tax 707 792-18651707-792-0342 Address P O Box 6549 Consul tant/Contractor PM VERN E <br /> Re ort Type&QC Level Send EDF Reports Mora a CA 94570Invoice to Consultant/Contractor o PIGS Caeie one) <br /> BP/GEM Account NoTele/Fax 925-299-88911925-299-8872IPP/GEM Work Release No Intrim-50265 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> iJ <br /> m <br /> `v vi C'4 W CO <br /> x o p co LN a <br /> ay Fes- °`° a °O Sample Point L,atfLong and <br /> Item No Sample Description Time Laboratory No o w O ¢ Q <br /> E o L V q w U Comments <br /> U <br /> cd zs a c U C•-' x m W <br /> - <br /> _ 2 `A <br /> tow IX I - 3 X <br /> 4 �two I X - yc ,�' X s< <br /> s - �Z3d 'S 3 aC >CIx I <br /> 6 Or; -NM_ \\35- X 3 X <br /> 8 O INTACT' <br /> 9h+1 I I COQ GR M ly TU `CO ° <br /> 10 I_ <br /> San] ler's Naine �L`/�K.�� S1\AVI .4ia elan uished B /Affiliation I zn a k Me ccpVtN B /Aftihation ate ime <br /> Sam let's Com any 13TS S4 t- . 0 03 O,f- !o O ,OZ <br /> Shipment Date Cl <br /> Shipment Method Z <br /> Shipment Tracking No > <br /> Soecial Instructions Address Invoice to BP/GEM but send to URS for annroval <br /> RUN 8260 ANALYTES IN ONE BATCH ANALYSIS <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt FIC Trip Blank Yes No <br /> Distribution While Copy-Laboratory/Yellow Copv-SP/GEM /Pink Copy-Consultant/Contractor BP COC Rev I Z&OZ <br />
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