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ARCHIVED REPORTS_XR0004220
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0505603
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ARCHIVED REPORTS_XR0004220
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Entry Properties
Last modified
3/9/2020 9:42:03 AM
Creation date
3/9/2020 8:31:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004220
RECORD_ID
PR0505603
PE
2950
FACILITY_ID
FA0006892
FACILITY_NAME
SHERMAN HINAMAN TRUST ET AL
STREET_NUMBER
2409
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15542001
CURRENT_STATUS
01
SITE_LOCATION
2409 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chevron California , - • Analysis Request/Chain ofCuefody <br /> Lana er Lahor�tories Acct# 0 � Sam`�" <br /> � �` � — �'°only <br /> *V0weqAftyjsa-q3erxe //03 7 —d <br /> �j Analyses Requested &' 9-7�)t�4 I <br /> Facility#- 9-6258 G-R#386844 Global ID1L 70607700720 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thlosulfate <br /> Site Address_ 2409 East Main Street, Stockton, CA CL N=HNO3 B=NaOH <br /> Chevron pM Robert Cochran Lead Consultant SecorRH 1! 1S=H2SO4 O=Other <br /> a <br /> w c ❑ ❑J value reporting needed <br /> Cohsultant1OlFtca G RInc 6747 Sierra Ct. Dublin CA 94568 nom. N [3 Must most lowest detection limits <br /> a Z $ possible for 8260 compounds <br /> Consultant Pri Mgr Deanna L. Hardin deanna inc.c ❑ v 1dj ❑ <br /> 1� `b ❑ 8021 MTBE Confirmation <br /> Consultant Phone# 925-551-7555 Fax# 925--551-7899 ❑ g N <br /> A ❑Confirm highest hit by 8260 <br /> Sampler �rlS�no � � a � Lu <br /> � � � � ❑ ❑Confirm all hits by 8260 <br /> Service Order# [3 Non SAP, A E 1 ❑ ??+�� $ ❑Run oxy s on highest hit <br /> Date Time Sam Identification Collected Collected N O F°- m �A ❑Run oxy s an all hits <br /> J <br /> 0 �J vZ Comments 1 Remarks <br /> min-� 1-03155 v� x <br /> �iL,c, ,D� Time Received by D Time <br /> Tum unci Time Requested(TAT)(please circle) � f" �'7°f� l� <br /> 72 hour 48 hour Re inquished by- Time Received by b a Time <br /> 24 hour 4 day 5 day h3 e <br /> Data Package Options(please circle if required) Relinquished try Time Receyived by 100, Time <br /> DC Sumriary Type I—FullyQ3 Adm <br /> Type VI(Raw Data) [3 Cook Deliverable not needed rRelInquished by Commernial Ca R Date TinaWIP(RWOC9) FedEx er <br /> Disk erature Upon Receipt C° Cus als Intact? Yes No <br /> Lancaster Laboratories,Ire.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 V17)656-2300 3460 Rev 7130101 <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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