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ARCHIVED REPORTS_XR0005707 CASE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0545951
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ARCHIVED REPORTS_XR0005707 CASE 2
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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
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EHD - Public
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= = = M = = M = = = r M r M M s <br /> Page of L <br /> Ob <br /> Chain of Custody Record Ede Terre a6 7Q Temp -S <br /> pProject Name solo -ate Time Trapp <br /> BP BU/GEM C Portfolio Atlantic Richfield Company P Y ky Candatrons i~.1.{.o.� <br /> BP Laboratory Contract Number -ter- eteorolo cel Eveatx <br /> Date i)7 Requested Due Date I*waeld- W.nd S ocd 5 I Drrechon p. <br /> Send ToBP/GEM Fachty No 6020 I—IIEDD <br /> nsultara/Condtactor URS Corp <br /> e. <br /> Lab NamS ota-Petalurra PIGEM Facilt Address 1711 E Yosemite Manteca CA95336dress 2870 GatewayOaks Dr Ste 300 <br /> Lab Addresb Site ID No Arco 6020 aramnto CA 95833 <br /> 1455 North McDowell Boulevard,SmteD iteLat/Lo dernse vee@urscoMoom <br /> Petaltune,CA 94954 Czdiforma Global ID# T0607700873 CousultantProjectNo qio 09,i� C-O t3 p <br /> Lab PM Aurlee.Can /GEM PM Contact Paul lc nwltantTele/Fax 916-679-20001679-2900 <br /> Tele/Fax 707792-18651707792-0342 Ad&cw PO Box 6549 ConmfltantPM Gq a�r-i{ , <br /> Report Type&QC ltvel Loevd 1 Mora a CA 94570 Invoice to BP/GEM <br /> BP/GEM Account No ele/Fax. 925 299 8891 P/GEM Work Release No WR36616 <br /> Lab Bottle Order No Matrix Preservatives Requested Analysts <br /> c- <br /> A <br /> Ey <br /> tapA <br /> lkatt Sample Desuen Time Laboratory No P M Sample Point Lat/Long and <br /> No21 <br /> a Comments <br /> yr o > P <br /> o ' PQ E o <br /> a o a 0- <br /> 4 <br /> 1 x X = X f <br /> 2 M Wll+ —Z0 0875 X x X <br /> 3 /IN N-1 0X x X -Y�-K- <br /> a Mw-tk `90 03� x x x � <br /> 6 MW'I�,� tU4 x X X eXr -X <br /> 7 MW��—`3� iU�� X X X <br /> 8 [./-14t <br /> w't'� — 3 5 1G3� x } x x `x - <br /> 9 w-13by i s i33fJ x x x -10 4/'f?� 1 x X x <br /> Sampler's Name Jeff Brooks Rehnqukhed By/Affisiatlon to tnc lAocepted By f AffUlation f ,^t <br /> S lea's C C tion u(2) i3'{ �✓ <br /> meat Date U 3 <br /> 2arnmt Method 7-/ <br /> nit Tracbrig No <br /> S ectal Jnstrndions <br /> **If total lead value is>50ppm analyze for lead by STLC value is>5ppm analyze for lead by TCLP <br /> lCustodySeals In Place Yes_No_ Leff mmw Blank Yrs o Cooler Temperature on Receipt °FIC Thp Blank Yes_No_ <br /> Dista'button White Copy-Laboratory/Yellow Copy-BP/GEM /Palk Copy-Consultant/Contractor BP COC Rev 1 2J&02 <br />
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