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ARCHIVED REPORTS_XR0004806
EnvironmentalHealth
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LOWER SACRAMENTO
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8660
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3500 - Local Oversight Program
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PR0508187
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ARCHIVED REPORTS_XR0004806
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Entry Properties
Last modified
3/4/2020 11:51:00 AM
Creation date
3/4/2020 11:11:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004806
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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�1L�lI[�1f l��!!lI�11f 1L41it=L 1[o1f 1`f f L!11'�►7t►'f►(=�!L�1=��►'ilL�i>f till�►*1«�r11•1•J r <br /> Lancaster Laboratories For Lancaster Laboratories use only <br /> Acct # Sample# SCR# <br /> 1N112rt?QUalIty15 d SCJef1Ce 0qzC1 07 _00 <br /> Analyses Requested <br /> 9-3232 Job#386463 Globel ID#T0607700658 Matrix Preservation Codes Preservative Codes <br /> Facility# <br /> 660 LOWER SACRAMENTO RD STOCKTON CA 14 <br /> FI= HCl T=Thtosulfate <br /> Site Addres N= HNO3 B=NaOH <br /> Bob Cochran Secor �+ S=HzSO4 0=Other <br /> Chevron PM Lead Consultant U u0 <br /> v N a� ❑J value reporting needed <br /> Consultantloftice G-R, Inc , 6747 Sierra Court, Dublin, Ca 94568 0 <br /> 0 0_ a ❑Must meet lowest detection limits <br /> Consultant Pr) Mgr Deanna L Harding (Deanna@gnnc comb a z o possible for 8260 compounds <br /> El <br /> Consultant Phone#925-559-7555 Fax# 925-551-7899 o o 8021 MTBE Confirmation <br /> r� °° ❑Confirm highest hit by 8260 <br /> e� <br /> Sampler /oit.vt CAA4eb14_ El(, .0 W o o <br /> Em 0 0 ❑ ❑Con firm all hits by 8260 <br /> Service Order# [3 Non SAR CL z $ $ o ❑Run oxy s on highest hit <br /> Date Time o o s x <br /> Sample Identification Collected Collected O U � O m I? ❑Run_oxy s on all hits <br /> Comments I Remarks <br /> Mw -L- /2 �"fo X X X X <br /> Aw-3 V1z yla, IW7_ X <br /> S-/0 7- f 91(0 <br /> MW- Z do <br /> Ili w—S`A 2,q0 1?Sf— X x X <br /> rvtw -� D - _L0 ti <br /> A <br /> I L I I FFFF I <br /> Relin hed by / ate Time Received by Date Time <br /> T around Time Requested (TAT)(please circle) ��v Zac�o ( �, ' <br /> TAT 72 hour 48 hour R ingwshe by Date Time Re ry d by Date Time <br /> 24 hour 4 day 5 day azo <br /> Data Package Options(please circle required) Re nq fished Date Time Re ed byj Date Time <br /> QC Summary Type I— Full LZ�� I4 S jL } Id <br /> T V! Raw Data Relinquished by Commercial Ca Re b <br /> Type ( ) ❑Coelt Deliverable not needed � Y Date Time <br /> WIP(RWQCB) UPS FedEx ther 1� 'VvI <br /> l&�k MN10- CX� <br /> Disk Temperature Upon Receipt10 T_ LJ <br /> C° Custody Seals Intac? l Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PCift 12425 Lancaster,PA 17605.2425 (717)656-2300 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to Lancaboratones The pink copy should be retained by the client <br />
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