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ARCHIVED REPORTS XR0000769
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 XR0000769
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Entry Properties
Last modified
2/15/2019 4:51:26 PM
Creation date
2/15/2019 2:06:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000769
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
Scanner
WNg
Tags
EHD - Public
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y <br /> F <br /> Chevron • ' ' i • Analysis1� ' �' r1 . of ` Idy <br /> K <br /> i&Latx�aster Labor&ries - Acct s l $� sampte t 3�°i yam°°"" scR#��19b�3 <br /> vl/herequa�ysasapnc�e , , <br /> Analyses RequasW <br /> Faddy#- 9- 57 7C Preservation Codes Preservative Codes <br /> H=HCI T=Thmutfate <br /> Sde Address 41 �,� N=HNO3 B=NaOH <br /> Chevron PM Lead Consultant ��C1� ', �, S=H2SO4 O=Other <br /> C"113YO ice 1XP./7 `f ems_.r �!��,fLb _ c Q c 0 value reporting needed <br /> Consultant P7M r St r �e.�. , ❑Must meet lowest deWton rsrds <br /> g �. possible for 8260 compounds <br /> Conuiltant PhamE61=2.. +j=fax# — '$ a a ° 8021 MTBE Confirmation <br /> Sant er2QkMWL�s.� Q 4 Q ❑Confirm highest hit by 8260 <br /> Pervice Order# __ n IVOn�%R m :2 5 3* ❑Confirm all hits by 8260 <br /> Field et Top Time New C13 ig <br /> ❑Run_oxy a on highest hit <br /> Emmarinematrixle (9 �j ❑Run_oxy's on all hits <br /> Comments f Remarks <br /> a.� <br /> Re by to Time nred by _Date Time <br /> Time Requested(TAT)(piea4� rcte) <br /> STD TAT 72 hour 48 Hour R 1 DM Time Recerved by Date Time <br /> 4 day 5jay <br /> Data'-Package Options(please antis it required) <br /> Relinquished by Date Time Received by IT-,,rne <br /> OC Summary Type I–Full <br /> 4 Type VI(Flaw Data) Ocoeft Deliverable not needed Relinquish ercial Carrier Rene by �WIP(RWOCB} UPS FedEx OtherDtsk Temperature eceipt C° Custody Seals i Yes <br /> Lancaster Laboratem,Inc,2425 New Holland Price,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 10/04/01 <br /> Copies White and yellow should accompany samples to Lancaster Laboratones The pink copy should be retained by the client <br /> 4 N <br />
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