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ARCHIVED REPORTS_XR0004531
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004531
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Entry Properties
Last modified
3/11/2020 1:18:24 AM
Creation date
3/10/2020 11:13:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004531
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
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EHD - Public
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Chevron California R` A AnalysisRequest/Chain ofCustolffy <br /> Far La Fe ter Laborato ' s use only &-Io�^ �17 67 <br /> w +Lancaster Laboratories -.-� _ _a .�� .# a y.� f _ _ <br /> --- . ;-;:.r:-_._:,_._ :, -- -. -- Acct Sample � ��0.3���,10 <br /> Wherequafitytsasaenre _ ... <br /> . p Analyses Requested <br /> Facility#: 1 l�} Z _ Preservation Codes Pireservative Codes <br /> S H=HCI T=Thiosulfate <br /> Site Address-. a` �--- N=HNO3 B=NaOH <br /> Chevron PM: ob ��ln�, Lead Consultant: S=H2SO4 O=Other <br /> m <br /> t? <br /> -onsultanV01hoe:'W 7 0 -+. <br /> El C3J value reporting needed <br /> ❑'Must meet lowest detection limits - - <br /> Consultant Pd.Mgr.: �4 tw_ _S v ❑ possible for 8260 compounds <br /> Consultant Phone 0:9146— R41Fax#: /dig -� o 8021 MTBE Confirmation <br /> Sampler: •. 7te�i�- 777-as-slams'c> �, $ _ " ❑Confirm highest hit by 8260 <br /> -y =1 ❑ ❑Confirm all hits by 8260 <br /> Semite Order#: ❑.No SAR: a z + _ <br /> Field Repeat tle <br /> Time. New E S a 0 Run,�oxy's on highest hit <br /> Point I[eC i [ U ❑Run_oxy's on all hits <br /> Comments!Remarksoy <br /> Reli y ate Time Received by: Date Time <br /> nd Time Requested(TAT)(please circle) g iT �.3s <br /> STD.7AT 72 hour 48 hour qui ed ��_ Date Time Received by: Date Time <br /> our 4 day 5 day <br /> Data Package Options(please circle if required) elinq ed Date Time Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Flaw Data) i]Coelt Deliverable not needed Relinquished by Commercial Carrier; Re ved by: ate Time <br /> WIP(RWQCB) UPS FedEx OtherNh <br /> b <br /> Disk Temperature Upon Receipt . C° Custody Seals intact? Yes No <br /> Lancaster Laboratories.1 .2425 New H9_4. <br /> nd Pace,PO Box 12425,Lancaster,PA 17605-2425,.., f 6-2300 3460 Rev. 10/04101. <br /> Copies:White and yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the ciierit. <br />
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