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2900 - Site Mitigation Program
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PR0517323
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/14/2019 3:46:08 PM
Creation date
2/14/2019 9:40:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517323
PE
2960
FACILITY_ID
FA0013339
FACILITY_NAME
MT HOUSE SITES 1-6
STREET_NUMBER
0
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
BYRON RD
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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1 <br /> Historicoi Pipeline Potfolid Anolysis • of Custody <br /> LamasW L&w&l ir.7 1239 i For Lancaster Laboratories use only <br /> [S l D - <br /> Vlx't�tyis a scierm Acct.#:! l Group# t D a 4 S[0 3 Sample#: 1532 <br /> -s 1 S <br /> Please print Analyses Requested SCR#: <br /> *� Preservation Codes Preservative Codes <br /> Site/Global ID: H=HCi T=Thiosulfate <br /> Site Address: CN S'e'e U4nm GOWL2 N=HNO3 B=NaOH <br /> m S=H2SO4 O=Other <br /> ChevronTexaco PM:M.Scott Mansholt Lead Consultant:SAIC # <br /> y U <br /> Consultant/Office: El 401 Alberto Way,Suits B,Los Gatos,CA 95032 []j value reporting needed <br /> `L HPP Risk Assessment Detection <br /> N 3800 Watt Avenue,Suite 210,Sacramento,CA 95B21 0 v' z Limits <br /> Consultant Pd.Mgr.: t� ""`� o ❑ © 0 0 ri ❑Chromatograms <br /> / 1 <br /> Consultant Phone0) 4�Q b[_1{�17[pIf_ Fax#: 510) No ]N= co o o SUoY <br /> Sampler: E <br /> UNo C V <br /> C'O <br /> 0. <br /> co <br /> Field Repeat Top Time New 0 m = = aLU <br /> Point Name Matrix Sample Depth Year Month Day Collected Field Pt YM (9 L) H m a <br /> Comments 1 Remarks <br /> 2 <br /> Of 03 � K X cr► �C <br /> — — OF 03 3 83o K K <br /> SSB , - n �i o [ o 7 x X I S&m#A <br /> S r' <br /> NILJ <br /> V— <br /> s�Zs <br /> -93— <br /> Relinquished by: D Time Received by: Date Time <br /> Turnaround Time Requested(TAT)(check box) 31700 <br /> STI].TAT El 24 hour ❑48 hour to Received by: ate Time <br /> El day El 72 hour El day Reli � ed by: <br /> Matrix Values Repeat Values <br /> Relinquished b Date Time Received Date Time <br /> S Soil D Duplicate sample Relinquished mmerciai Carrier: Rec ed by: Date Time <br /> W Surface Water or Groundwater T Triplicate Sample 3�Q <br /> T Trip Blank-QA Sample N Pre-Purge Sample UPS edEx Other UU <br /> R Rinsate Blank-4A Sample P Post-Purge Sample <br /> t��11 <br /> M Miscellaneous(e.g.,product sample) Tem peraturelpH Upon Receipt t•U',(o C° pH ustody Seals Intact? es No <br /> 4324.01 Rev.1/14105 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,Pd Box 12425,Lancaster,PA 17605-242 (717)656-2300 <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />
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