My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0005707 CASE 2
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
1711
>
2900 - Site Mitigation Program
>
PR0545951
>
ARCHIVED REPORTS_XR0005707 CASE 2
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/24/2020 12:29:38 AM
Creation date
8/6/2020 11:27:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005707 CASE 2
RECORD_ID
PR0545951
PE
3528
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
02
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
126
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
MMMMMMIMMM <br /> • 4r <br /> Page�of� <br /> ?�. Chain of Custody Record US <br /> "3 6 T.-T �" 6� <br /> v� b p Project Name �� T <br /> BP BU/GEM CPortfolio• Atlantic Richfield Company C U.,, <br /> BP Laboratory Contract Number ents <br /> Date �u Requested Due Datelmneelm- 1� ,a M3 DuMUOn <br /> ,Send To P/GEM Face Na Cr-L y nailtantlContractor URS Corp <br /> Lab Name Sequoia-Petaluma PlGEM Facile Address i C YUrov ass 2670 Gateway Oaks Dr See 300 <br /> Lab Address At ID No Ft Le, V;&a acxaixiento,CA 95633 <br /> 1455 North McDowell Boulevard,Suite D rte LAVLOW mazl EDD GO <br /> Petaluma,CA 94954 Cakforrms Global 1D# -ro-j` ro 02:2- (,teT3 nailtani Pro ea No 6 G P130 <br /> Lab PM AffLdee Can BPICIEM PM Contact V a UA Y1w onszdtaniTclelFaz 916-679-2000!679-2900 <br /> Q <br /> elelFaa. 707 792.165s/707 792 0342 e$ onatitsnt PM %tYd.s <br /> R e.4r Level Level 1 C!'� mance m BP/GEM <br /> BP/GI-"-M Account No cle/Fax aj o19 4 P/GEM Work Release No t,i C <br /> Lab Bottle Order No Mata, Preservatives Regaesied Analysis <br /> k <br /> Iter hN 5autple Point LatfLong and <br /> No Sample nescrfption Time Laboratory No m Coninimts <br /> 7T <br /> o C w ` + <br /> a E ° O b <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name Jeff Brooks Relinqukhed B /AffitintLon to Tirm Accepted By/Afflhatokto 5 <br /> SampIer s Company C hon LAN fiJA 1-7 1 •�yL <br /> Stu t Date <br /> Shipmmt Method <br /> t Tradung No , <br /> Special Listructtons <br /> **If total lead value is>50ppm analyze for lead by STLC value is>5ppm analyze for lead by TCLP <br /> Custody Seals In Place Yes No--- TenTMMM Blank Yes-&No-- Cooler Temperature on Receipt °_ FIC Tnp Blank Yes_No <br /> Distnbution White Copy-Laboratory/Yellow Copy-BP/GEM /Pmk Copy-Consultmt/Contractor BP COC Rev t V5102 <br />
The URL can be used to link to this page
Your browser does not support the video tag.