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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
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EHD - Public
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Chevron _ <br /> La aster L&Or&nWFor Lancasbr Lsbo�s�ahs l�j�only <br /> wherequalrtybasaerxe ?C-7 <br /> bZ.d'ZO� r OZ.. A,.* #- samle#- � 7�p`'M7 d. scR#-_ 2o C3 Aatysea Requested (-,{t .n-�' �v Matrix Preservation Codes `-'Pr�e^seervative Codes <br /> Facility# SS#9-5775 G-R#385408 Global ID#T06077U0839 <br /> 301 WEST KETrLEMAN LN, LODI,CA H=HCI T=Thiosuffata <br /> Site Address a N=HNO3 $=NaOH <br /> Chevron PM RC Lead Consultant SECORRH S=H2SO4 0=Other <br /> GR, Inc, 6747 Sierra Court, Shite J, Dublin,Ca 94568 ° uyi D value reporting needed <br /> ConsultantlOi'flce <br /> Deanna L Harding deanna n a N ;(Must meet lowest detection limits <br /> Consultant Pry Mgr g ft ne c�1) ❑o possible for 8260 compounds <br /> Consultant Phone tk 925-551-7555 Fax# 925-551-7899 `o g a � 8021 NITBE Cormrrnalion <br /> Sampler O,t �I �llq $ ❑ 11 o 4, 0 Confirm highest hit by 8260 <br /> a � � � � 0 � [I Confirm all hila by 8260 <br /> Service Order# ❑Non SAR S ❑ z <br /> Date Time 5 _ - ❑Run_oxy s on highest hit <br /> Sample ldentlficatlan Collected Collected 4 Run_axy s on all tilts <br /> Comments!Remarks <br /> '3CW3 <br /> FY- Izq o <br /> o 0?" <br /> o X <br /> Rel by- to Time R Date Time <br /> nd Time Requested(TAT)(please dmle) 3p �'l pfo <br /> TAT 72 hour 46 hour R <br /> by Data Time <br /> 24 hour 4 day 5 day (� Z 11,41) <br /> Data Package Options(please circle tf required) fRel[nqLd!sh$dby <br /> by, Data Time Reeelved by AA Data Time <br /> OC Summary Type I—Full =" � reS r f Z f <br /> Type VI(Raw Data) ©Coelt Deliverable not needed cix- rdal R Date TimeWlP{RWQCl3) tcx Disk n Receipt CO Custody Q14.Intact? Yes NO <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Sox 124254 ,Lancaster,PA 17605.2425 (717)656.2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lawaster Laboratories The pink copy should be retained by the diem <br /> r <br />
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