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ARCHIVED REPORTS_XR0004709
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0508187
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ARCHIVED REPORTS_XR0004709
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Entry Properties
Last modified
3/4/2020 11:31:31 AM
Creation date
3/4/2020 10:02:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004709
RECORD_ID
PR0508187
PE
2950
FACILITY_ID
FA0007980
FACILITY_NAME
CHEVRON SERVICE STATION #9-3232
STREET_NUMBER
8660
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
STOCKTON
Zip
95210
APN
07917039
CURRENT_STATUS
01
SITE_LOCATION
8660 LOWER SACRAMENTO RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Cheyron California Region Analysis RequestlChain of Custody <br /> nly+ e . For L_ancaster Laboratories <br /> boa�tories—use <br /> (only <br /> a 2 71u '1Q$ � nit # sample# <br /> scR# <br /> ce <br /> Analyses Requested <br /> Facility*-3232 Job#38W3 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thiosulfate <br /> Site Add 8860 LOWS 5AC EN ORD STOGKTON CA C N=HNO3 s=NaOH <br /> Chevron Fibber(Cochran Lead Consultant Senor S=H2SO4 O=Other <br /> Consultantl0fficG_ w �_ ❑,f value reporting needed <br /> a 2 N ❑Must meet lowest detection limits <br /> Consultant Pr} a- w possible for 8260 compounds <br /> Consultant Pho _ • Fax§25551-7899 0 8021 MTBE Confirmation <br /> Sampler 1�1►fu T�d.f D&J 1 y ❑ ❑Confirm highest hit by 8280 <br /> Service Order# El Non SAR FL E LE � � ❑Confirm all hits by 8280 <br /> Z to Ln <br /> [3 Run�,oxy s on highest hit <br /> Date Time E o ro © o +5 $ $ <br /> Sam le Identification Collected Collected 0 8 00) 3: O 1.- m a: ❑Run oxy s on all hits <br /> 14 • Comments 1 Remarks <br /> w- to <br /> KW.'L <br /> w- l <br /> Relinquished b Date Time Iv tDTime <br /> Tu and Time Requested(TAT)(please circle) �'r p.�; o�r <br /> TAT 72 hour 48 hour <br /> Vft <br /> Q to Time R ry y Ti�te_ <br /> ur 4 day 5 day r� <br /> Data Package Options(please circle if required) Irt ish by I1 ate Time Received ate Time <br /> QC Summa (U'zv 1:5 Za QC <br /> Summary Type I--Fun eiinquished by Commercial Carrie R b <br /> Type A(Raw Data) ❑Coelt Deliverable not needed y Date Time <br /> WIP(RWQCB) UPS edEx Other <br /> T 7 <br /> Disk Temperature ecelpt C C° Cus Seals Intact? Yes No <br /> Lancaster Laboratories,Inc.2425 New Holland Pike, 12425 Lancaster PA 17605-2425 (717)656-2300 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lanc4w <br /> boratories The pink copy should be retained by the client. <br />
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