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ARCHIVED REPORTS_XR0004232
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0505603
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ARCHIVED REPORTS_XR0004232
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Entry Properties
Last modified
3/9/2020 10:14:16 AM
Creation date
3/9/2020 8:35:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004232
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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r <br /> vim <br /> For Lancaster Laboratories use only <br /> Upra des Acct # � Sample# 315D-01-1 :1) SCR# <br /> +Larxaster <br /> Wtlelt?qllallty 6 a So2►IC2 j <br /> I D —6 Analyses Requested <br /> Facility# 9-6258 Job 0386844 Global ID#70607700720 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=Thlosulfate <br /> Site Address2409 EAST MAIN F ST STOCKTON CA Q N=HNO3 B=NaOH <br /> 4 S=H2SO4 O=Other <br /> Chevron PM Robert Cochran Lead Consultant Secor � Z <br /> Consultant/Office urL Dublin, Ca 94568 M co � S [I J value repotting needed <br /> a w c ❑Must meet lowest detection limas <br /> Consultant Pq Mgr o possible far 8264 compounds <br /> ❑ ❑ <br /> o ❑ <br /> Consultant Phone# _ _ Fax# g2��51_7R94 o W_ o 8021 MTBE Confirmation <br /> Sampler �^ m © o ~ ❑ <br /> Confirm highest hit by B260 <br /> �a <br /> L r= � � � ❑ ❑Confirm all hits by 8264 <br /> Service Order# []Non SAR a a z <br /> a (X `m _ + $ ❑Run_oxy s on highest hit <br /> Date Time 12 E c � ❑ e <br /> Sample Identification Co le d Collected m 1619 m [� Run_oxy s an all hits <br /> �( Comments 1 Remarks <br /> L <br /> - 3 lI co <br /> i <br /> Ill A - A <br /> Relinquishedgatf Time g <br /> Date me <br /> Turnaround Time Requested(TAT)(please circle) + Iod 1,00 lo <br /> STD TAT 72 hour 48 hour in Date Time RTime <br /> 24 hour 4 day 5 day Yj IA j <br /> Data Package Options(please«role if required) Reis u ed by Data Time RT7Y <br /> ate Time <br /> OC Summary Type 1—Full ��1 <br /> Type Vl(Raw Data) OCoett Deliverable not needed Relinquished by Commera :Mby to Time <br /> WIP(RWQCB) <br /> UPS FedEx Other f 161- ^ d <br /> Disk Temperature Upon Receipt C° Custody Seals Intact? Y No _ <br /> 1. <br /> Lancaster Laboratones Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7/30/01 <br /> . Copies White and yellow should accompany samples to Lance 0 boratories The pink copy should be retained by the client <br />
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