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ARCHIVED REPORTS_XR0002306
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_XR0002306
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Entry Properties
Last modified
1/23/2020 10:00:50 AM
Creation date
1/23/2020 9:41:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002306
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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i <br /> La ster��Wdgs Acct #Chevron California Region Analysis RequestlChain of Custody <br /> b�G�`{' :;am <br /> For pie ik'7 T M ri'g}Lse on!go31 SCR#- <br /> Ut�heret tyrsasoerlce .0 41 Acct <br /> 4 A Analyses Requested � j y <br /> Facility# 9-8632 D 4386855 Globel I 607705670 Matrix Preservation Codes Preservative Codes <br /> Site AddresQ75 GRANT LINE ROAD, TRACY, CA ILA H=HCI T=Thiosuifate <br /> CL N=HNO3 B=NaOH <br /> Chevron PM Bob Cochran Lead Consultant Secor k 12 8 Jac 5=H2SO4 O=Other <br /> Consultant/Office —G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 o ❑ �reporting needed <br /> .Deanna L Hardin Deanna nnc com a° z c ❑Must meet lowest detection omits <br /> Consultant Pq Mgr 9 { <br /> ❑y❑ w ❑ ❑ possible for 82130 compounds <br /> Consultant Phone#925-551-7555 Fax# 925-551-7899 0 a o 8021 MTBE Confirmation <br /> Sampler G .nA�A�' ._ _� m ❑ ,, o a i9 by 8260 <br /> Confirm highest hit <br /> Service Order# ❑Non SAR o ¢ z a � to <br /> E3 Confirm all hits by 8260 <br /> DateTmme = m D 3§ � � � g� � M � ❑Run_oxy s on highest hit <br /> Sam le Identification Collected Collected O m g I ❑Run_oxy s on all hits <br /> 7— Comments/Remarks <br /> um C)131 X, ?K 7, X <br /> Mw-l —LQ,-so >( X I;( <br /> JA Is3 <br /> Mw-3 1+W Y- x x <br /> AAW-q s' X, X0 x X )( <br /> Mrw-S X X1 X <br /> Mw- (ok x x X I x <br /> w- ,3 !34o <br /> x <br /> Relinquished bReceived bypTimeTumaround Time Requested[TAT)(please circle) op� � <br /> STD TAT 72 hour 48 hour Rdrinquishell by 4Dte <br /> Time R <br /> 24 hour 4 day 5 day by Date Tame <br /> Data Package Options(please circle if required) Relmqu Time Race ived Date Time <br /> QC Summa 11 Q1 is-IQ 5f1 <br /> Summary Type I—Full Relinquished Com a al Ca (( Remiv <br /> Type A(Raw Data) [ICoelt Deliverable not needed UPS FedExCher 1 Date Time <br /> WIP(RWQCB) 7"1) <br /> Disk Temperature Upon Reoaipt C° Custody SX1s Intact? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,*Laboratories. <br /> x12425,LancasterPA17605-2425 (717)856-2300 Rev 7130/01Copies White and yellow should accompany samples to LanThe pink copy should be retained by the client <br />
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