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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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tl • r ' IestI ! <br /> .` <br /> +Lancaster LabOlatceteSy/ ya¢pr� <br /> WhereqAOtyisascence. Acct. d0 ID Samp e o- J �i oC SCR#: Z <br /> Analyses Requested <br /> Facility#: � � Preservation Codes <br /> rvative Codes <br /> T=Thiosulfate <br /> Site Address: _XS5L �. ..�.r, _cS� �tiapr� _ �y. c N=HNO3 B=N80H <br /> `° = <br /> Chevron PM: � Gsr`r od,s� Lead Consultant: J�G�7�' 2 S H2SO4 O=Other� <br /> 0 value reporting <br /> ConsultantfOffice��U/7� f e��r� �� �7�:/��J t�nc � G ❑ lPo g needed <br /> W N <br /> � <br /> � ❑Must meet lowest detection lmitsConsultant Pr'.Mgr.: Gr � 14 S c <br /> U © El Possible for 8260 compounds <br /> Consultant Phone#.'?Y bFax 9/ o 8029 MTBE Confirmation <br /> Sampler: m o o [3Confirm highest hit by 8260 <br /> -- <br /> Q0$ <br /> Service Order#: ❑Nott SAR: o Z Ln ❑Confirm all hits by 8260 <br /> Field _ F2e eat T Time New _� ,. X co . ...:. W. ❑Run`axys.on highest hit . <br /> P Q a a ❑Run_oxys on all hits <br /> Point Nam Matrix nnle Depth Year Month Da Ile field Pt. r m F ti � , <br /> 6Scomments lRemarks <br /> 4S o6 Z-yA <br /> Z B- k a ?.-QC t629, 14 ORO <br /> iris ' . a Tune ivied b <br /> -� V13 Y Date Time <br /> F -- _ tme Requested(TAT)(please circle) 9 <br /> STD.TAT 72 hour 48 hour Relinqu' Dat TiTe Received by: Date Time <br /> 4 day 5 day <br /> Relinuished by: t Time Received by: Da Time <br /> Data Package Options(please circle W required) rq 3 <br /> QC Summary Type t-Full doo <br /> Reltncquished by 0- Carrier: Re 'v b <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed ` r Y � Date Time <br /> WIP(RWQCB) <br /> UPS FedEx Other. -- DTTL -3 <br /> Disk Temperature Upon Receipt 4. C° Custody Seats lnt Yes <br /> Lancaster Laboratories, Inc-,2423 New Holland Pike,PO Box 92425,Lancaster,PA 97605-2425 (717)656-2300 3460 Rev- 10/04101 <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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