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ARCHIVED REPORTS XR0000768
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000768
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Entry Properties
Last modified
2/15/2019 4:29:45 PM
Creation date
2/15/2019 2:04:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000768
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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WNg
Tags
EHD - Public
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Chevron California negion Analysis RequestlChain of Cbstody <br /> ' For Lan !ar Laboratories use oQnl.y�-7�p� <br /> � Cif VOwe a Labor 1'le5 OZ 6Z 0 Ll � - Acct. Sample# `®�o`�"TW7('6 n— �fSCR# <br /> z — -319� <br /> 7 . - 0 J Analyses Requested C 0 0 <br /> Facility# !SM-5775 G-R#381 408 Global ID TD607700839 Matrix Preservation Codes Preservative Codes <br /> W N41 H=HCl T=Thiosulfate <br /> Site Address 301 VVtST KEfTLEMAN LN , LODI,CA N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant.$ECORRH S=H2SO4 O=Other <br /> ConsultanUOffice <br /> -R, Inc, 6747 Sierra Court,Suite J. Dublin,Ca 94568 w c p ❑ value reporting needed <br /> Deanna L Harden � deanna�grinc coin gx` � � � Must meet lowest detecfbn limits <br /> Consultant Pq Mgr 9 ) V1 J tale for 6260 compounds <br /> ❑ 4 6021 MTBE Confirmation <br /> Phone# g�551;-__-_555__ _ Fax# 925551-7899 4 <br /> n <br /> sampler oi11� ❑ m © []Confirm highest hit by 6260 <br /> y . E)Conflrm all hfts by 6260 <br /> In <br /> Service Order# D Non SAR i �' <br /> ❑ <br /> .0 E ❑ $ Run^oxy s on highest hit <br /> Bate Tire 1! p ar ©Run oxy s on all hits <br /> Sample Identlfica n Collected II ed O C] N O }- m <br /> Opt ------- —� ` Comments!Remarks <br /> 0 0� . jor3 <br /> rV11►S- <br /> X <br /> Ix <br /> MW_ a X <br /> MW 54 JANY0xlxl <br /> 1iAVj:t5___ <br /> w-foZ 13C <br /> JY <br /> jo ' x �c <br /> 1 <br /> MW r o 1!1 <br /> d <br /> y Roll bY' , .Tana Time <br /> Turnaround Time Requested(TAT)(please circle) ,tom 3Q It{ j0 <br /> 5TD TAT 72 hour 48 hour Time ed Date Time <br /> 4 day 5 day 1140 2 11`1 <br /> Data Package Options(please cirsfe If required) nqu Data rum R fved by Time <br /> �14S <br /> YL� <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) `0Coeft Deliverable not needed Relinquished by Commercial P r i by rAft, <br /> Ti <br /> wrP(RwQCB) <br /> UPS FedEx Other' a <br /> Disk Temperature Upon Recelpt C° Custody ala Intact? es No <br /> Lancaster Laboratories,Inc.,2425 Nqw Holland Plka,PO Box 12425,Lancaster,PA 17605.2425 (71T)65&2300 3460 Rev 7/30101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br /> r <br />
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