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ARCHIVED REPORTS_XR0003107
EnvironmentalHealth
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KASSON
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22888
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2900 - Site Mitigation Program
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PR0500128
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ARCHIVED REPORTS_XR0003107
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Entry Properties
Last modified
2/5/2020 7:13:03 PM
Creation date
2/5/2020 2:19:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003107
RECORD_ID
PR0500128
PE
2960
FACILITY_ID
FA0017784
FACILITY_NAME
CHEVRON-BANTA TERMINAL
STREET_NUMBER
22888
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23906019
CURRENT_STATUS
01
SITE_LOCATION
22888 KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• • • • • • • ' — • — • • M • r <br /> i r �¢ only <br /> h � 4 <br /> �� f��t'D -� Acct.# �Q Sampeo#���/ / uss o7 SCR#- <br /> , <br /> #L&Kaqer <br /> Wfierec�itytsasaerice <br /> 76-- <br /> �� Analyses Requested � ��73�5 <br /> Facility# SS#1001621 G-R#396883 Global ID#TO607700004 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thlosulfate Y, <br /> Site Address 22888 KASSEN ROAD, BANTA. CA f ! N=HNO3 B=NaOH <br /> v � S=H2SO4O=Other <br /> Chevron PM RC Lead Consultant SECORSG 4 <br /> VA <br /> G-R, Inc, 6747 Sierra Court,Suite J, Dublin Ca 94569 a w T ❑ a ❑ value needed <br /> Consultant/Office n a B Must meet lowest detection limits <br /> Consultant Pd Mgr Deanna L Harding (deanna@gnnc corn) a.© ❑ possible for 8M convounds <br /> Consultant Phone 51-75 5 Fax it 225-551-7892o 0 7. N SMI MTBE Confirmation <br /> Confirm highest hit by 8260 <br /> Sampler•_ _AM 0 $ 2 a ❑ jz Z [3 Confirm a hits by 8260 <br /> Service Order#- ©Non SAR z + � _ R <br /> R [IRun_oxy s on highest hit <br /> Date Time S 13a 1 a (3 Run_oxy s on all hits <br /> Sample Identification Collected Collected (7 � 30 O 12 1 <br /> A0 x X �C Comments!Remarks <br /> YJ $ -a X K �( t,;df`f <br /> ' MIQ-Yq a a3 X x x <br /> 0203 )4 <br /> Mw- '"6 o 1390 X IG X <br /> - S A o 07 03 Y\ X X <br /> 407 03 i X X ' <br /> MvJ- %-A 07 p 1 X x X <br /> MW- Col Vllt 1202 03 13 X <br /> -(. I —o-3c,3 / so X X1 �C <br /> Mw-(O- Ak- 1� 03 a3 4 X X S )( <br /> AD16a 03 1 AO -; X 1 9. <br /> M YJ s A 1 07a <br /> Rai lshed Date Time to Time <br /> T no <br /> Time Requested(TAT)(please circle) 174 6 <br /> STD TAT 72 hour 48 hour el D Time Reoerved by <br /> ' Time <br /> 24 hour 4 day 5 dayTime Rees !S D <br /> Data Package Options phase circle if regwrad) Relinq � �� <br /> OC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coen Deliverable not needed Relinquished by Commercial Carrier Race D <br /> UPS FedEx <br /> WIP(R1NOC8) til 1 <br /> Disk Temperature Upon Recea— G° Custody Seals intact? Yes No <br /> Lancaster Laboratones,Inc,2425 Now Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)655-23DO 3460 Rev 71301D1 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />
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