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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
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Tags
EHD - Public
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ChevronRequest/Chainnalysis <br /> � For I.ancaater !� use on <br /> I �1�LancasterLaboraitones bSo30 - 6� Acct Sample � -a " ss S"13 <br /> I ll <br /> TO(ob7 7GU�3� AnalyrsesRequleeW <br /> Facdrty# 'S7 7 'i Matrix I 1'reseevation Codes Preservative Codes <br /> Site Address DC3 • II H=HCI T=Thiosuifate <br /> ❑ N=HNO3 B=NaOH <br /> �` <br /> Chevron PM ' Lead Consultant S=H2S0, O=Other <br /> ConsuEtanVOffiee w 3 ❑J value reporting needed <br /> Consultant Pry Mgr R c age ❑Must meet lowest detection limits <br /> pp possible for 8260 compounds <br /> Consultant Phone# i Fax# ❑© o `� © 0 8021 MTBE Confirmation <br /> Sampler m ❑ 1313 ig pl ❑Conflrm MTBE+Naphthalene <br /> ❑NOtr � Z I t^ o ❑ ' ❑Confirm highest hit by 8260 <br /> Service Omer# l �� � � o � r� ❑Confirm all hits by 8260 <br /> Date 'lime B — ❑ ??+�� a ~ ❑Run_oxy s on highest hit <br /> Sam le Identification Collected t 6 V c� O � ❑Run oxy s on all hits <br /> ` Fs o AM I(! <br /> !! Comments I Remarks <br /> !! <br /> I ` <br /> PF <br /> ET- <br /> i <br /> i ! <br /> 4 Turnaround Time Requested(TAT)(please circle) Relinquished by I <br /> ° Time Received by Date Time <br /> STD TAT 72 hour 1 48 hour J56a /3 <br /> 24 hour 4 day 5 da Relinquished by to Time ed me R `� Y I Dale Time <br /> Data Package Options(please circle if required) elE uis try ate Irma R 'S/ l 3a <br /> QC Summary T I-Fup I 3 s 0 'i� }� Date Time <br /> Type !/ <br /> Type V1(Raw Data) Disk I EDD Reihrquished by Commercial Ca r R ' by T e <br /> WIP(RWQC8) Standard Format UPS Fedex er } <br /> Disk —.-._ -Other t Ir J <br /> l Temperature Upon Receipt ^ C° <br /> Cus II Seals Intact Yes No <br /> Itancaster t.aborator18%Inc 2426 Now Holand Pike,PO Box 1.2425.Lenea%ter PA 17805_2425 (717)656-2300 <br /> Capias sn ye a �recomparir camp es roo Lan ries _�Rev 1131102 <br /> — �° he Pin cofiy should be retained by the cheat <br />
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