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ARCHIVED REPORTS_XR0002288
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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ARCHIVED REPORTS_XR0002288
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Entry Properties
Last modified
1/23/2020 10:10:23 AM
Creation date
1/23/2020 9:29:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002288
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chevron California Pegion Analysis RequestlChain of Custody <br /> For L,a'J r Labo rIe s anly <br /> JAock it J V`7� SarAple 1► `"7 1, SCRp <br /> +Lancasterbta&r�s <br /> WVP q�yeasuence ��Q-7609 <br /> 0( 2-70 6 -02 Analyses Requested <br /> n <br /> SS9 $632-OML GR#3$6$55 Global IDTD607700670 Matrix PreservatioCodes Preservative Codes <br /> Facility# / H HCl= T=Thrasulfate <br /> Site Address GRANT LINE ROAD, TRACY, CA a N=HNO3 6=NaOH <br /> SEt;ARGF S=H2SO4 O=Other <br /> Chevron PM DR Lead Consultant e D 41 ❑,I value reporting needed <br /> Consultant/Office G-R, Inc, 6747 Sierra Court, Suite J, Dublin,Ca 945fi8 w c_ ❑ Q Must meet lowest detection limits <br /> jl o a "' 5 possible for 8280 compounds <br /> Consultant P17 Mgr <br /> Deanna L Harding (deanna@gnnc com) a z `o g <br /> V o ❑ 8021 MTBE Car�firmallan <br /> Consultant Phone#925-551 7555 Fax# 925-551-7$99 !r 9 o ti 0 Co�t<m�highest hit by 8260 <br /> Sampler © E m § ❑ ❑Confirm all hits by t3260 <br /> m 7 5 n tn 66fi <br /> Service Order# ❑Non SAR 1 S, z ❑Run oxy s on highest hit <br /> Date Time E E: se c ' xd ❑Run oxy s an all hits <br /> Sample Identtf catlon Collected Collected 3 O <br /> 1 baa /' j; 1 Comments 1 Remarks <br /> tJ— O Qo <br /> �y W—a. 1 o <br /> 040 <br /> VWW_5 O S <br /> MW—GA �Q <br /> -fie O BID <br /> 01(o <br /> SOYA i 0 W <br /> ' I <br /> 3 <br /> it <br /> Relinqulsh�ed by Date Tame Received by- E'nmeTurnaround Time Requested ITAT)(please circle) -72 hour 48 hour Reinquishad by R ate Time Recetv by _24 hour 4 day 5 day aez <br /> ate Time Received by Date Time <br /> Relinquished by <br /> Data Package Options(please circle K required) lj� 15.30 O L �7/4 FSJ' <br /> QC Summary Type I—Fun Date Time <br /> Type ( ) �DFIEDD Relinquished Corn"relal Ce Received by <br /> T \n Raw Data ❑Coelt Deliverable not need OG J/0d <br /> UPS FedF�c Other <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt 5i1Wj I C°Z r a'54- Cust a ntact� as No <br /> 3460 Rev 7130!01 <br /> Lancaster Laboratories,Inc 2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies While and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client- <br />
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