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ARCHIVED REPORTS_XR0004528
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004528
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Entry Properties
Last modified
3/10/2020 10:41:38 PM
Creation date
3/10/2020 11:10:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004528
RECORD_ID
PR0545484
PE
3528
FACILITY_ID
FA0003714
FACILITY_NAME
LACHHAR CHEVRON*
STREET_NUMBER
334
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26115041
CURRENT_STATUS
02
SITE_LOCATION
334 E MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Chevror, C' fifornia R#n-nAnalyssls RequestlChain ! • <br /> +Weiequa#lyisa <br /> La caster l abolCil�es 1n p� For LanAcct.# f UO Sample#: SCR#: <br /> science <br /> Analyses Requested <br /> Facility#: 4L�.t�. Tam�7�5_�S�h'1/L T� . <br /> Preservation Codes vative Codes <br /> =HCI T=Thiosulfate <br /> Site Address: ter.` 5;7t, d , B= NaOH <br /> = = . <br /> Chevron PM at/•.a S H2SO4 O Other�D�+SG- lead''Consultant <br /> T, <br /> ,/�/] / � � S' - /_--` c <br /> Consultant/Office: c`� ❑J value reporting needed <br /> , �a �Je�� <br /> . — w o ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.: Hary �r/+ar+so `� N possible for 8260 compounds <br /> Consultant Phone#: 464;1 2 <br /> —f e Fax#: / o.. .is & 8021 MTBE Confirmation <br /> co <br /> Sampler: r_� �►>� iib e2?11 , y E m ❑Confirm highest hit by$260 <br /> Q Confirm all hits by 8260 <br /> Service Order#: p Hon SAR:. p Run_oxy s on highest nit <br /> Field Repeat : :ToP Tirrre New. o �_ W :. . <br /> Poi N M ri Sample De th Year Month Da Collected Field L7 U H m ❑Run oxy's on all <br /> 6Slot <br /> ` l� 4S aG,� j Comments!Remarks <br /> yam' <br /> - - - - Refnquis : . _ . Dat Time R �- by:� Gate Time <br /> iTur,aand Time Requested CTAT)[please circEe)TD.7AT72 hour 48 hour hed by; a Ti a Received by Date Time <br /> ur 4 day 5 day <br /> Data Package Options(please circle if required) nquished by: Date Time Received by: Time <br /> Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier. R i ed by: fDat Time <br /> Ty <br /> WIP(RWQCB) UPS FedEx Other o O4� <br /> Disk Temperature Upon Receipt CF. o v Custody Seal n ? es <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425, Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples io Lancaster Laboratories. The pink copy should be retained by the client. <br /> 4 <br /> 1 <br />
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