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ARCHIVED REPORTS XR0000369
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000369
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Entry Properties
Last modified
2/7/2019 10:17:10 AM
Creation date
2/7/2019 8:44:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000369
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Chevron California ..egion Analysis RequestlChain of C�-Jody <br /> LaxaSter aW� Act.tk i Sam <br /> pie <br /> p #U 1! sr cit abaratc�ar>�s NT my SCR DCIJO�lVy� <br /> wherequalrryisasar _ <br /> Q �'�'� ✓ ��� Analyses Requested <br /> Facility# SS#9-4275 G-R#386845 Global ID41IT0607700257 Matrix Preservation Codes Preservative Codes <br /> 2905 W BENJAMIN HOLT, STOCKTON,CA H=HCI T= lFate <br /> Site Address NaOH <br /> N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SEOORGM S=H2SO4 O=Other <br /> GR, Inc., 6747 Sierra Court, Suite J, Dublin, Ca 94568 n 0 J value reporting needed <br /> Consultantl0ffice o Q Must meet lowest detection timtts <br /> Consultant Pq Mgr Deanna L Harding (deanna f pnnc cora) v C4 possibie for 8260 compounds <br /> 1111 <br /> Consultant Phone# 925-551-7555 Fax* 925-551-7899 6 � o 8021 MME Confirmation <br /> Sampler_ +I��tJIC .{a'�LLi N 019! ( O Q Confirm highest hit by 828[1 <br /> ©Confirm all tits by 82so <br /> Service Order# ❑Non SAR z U3 . tZ - <br /> CL 8 v p Run oxy s on highest hit <br /> DateTime E a iii ?� <br /> Sam is Identification Collected Collected m ❑Run Dory s on all hits <br /> 1w I I*I-)e I Cornments 1 Remarks <br /> W-- <br /> _ L <br /> i <br /> S <br /> 13 YQ Ar Ar I <br /> IN1W - (p l D <br /> - <br /> KW- S1 30 <br /> w - IlitAt <br /> Tu nd Time Requested(TAT)(please circle) 11 ei�nquNshed Date Time Rscelved try a Time <br /> �`� (a3 <br /> STD TAT 72 hour 48[roar {� tquEshed by ate Time Received by Time <br /> 24 r 4 day 5 day � <br /> Data Package Options(please circle K required) ReUnqu�stted try Time Received by D to Time <br /> QC Summary Type I---Full � , <br /> T \A Raw Date Relinquished by Commercial R ,�taifie Time <br /> Type ( ) ©Coen Detrverahle not needed by }'/ <br /> WIP(RWQCB) UPS FedEx Other � <br /> Disk Temperature Upon Receipt 3 _C' Custody Seals ntact? Yes No <br /> Lancaster laboratories,Inc.2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)658-2300 3480 Rev 7030101 <br /> Copies Whits and yellow should accompany samples to Lahcaster Laboratories The pink copy should he retained by the client <br />
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