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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 Region Analysis RequestlChain n <br /> 7c us <br /> For Lancaster Laberapvnes only <br /> +bpcaqer�:abora�ot-�s - : .- �� : .� � � . 10�9� Sample* ��� . •! r <br /> V1TherecivalRyadsc�ence Acct.#: <br /> Analyses Requested <br /> Facility g. �l�—/ � ToGc� 7 00.5-45'YA" 1 t Preservation codes rvative codes <br /> Sita Address: =HCI T=Thiosulfate <br /> o a 8=NaOH <br /> c PM: <br /> Chevron S=H2S0� O=OtheChevronw cik�G LeadCons S m <br /> ConsuItant/Oice: .` ST-/qj ��,, U <br /> d <br /> � �. ©-. � 0 value reporting needed <br /> Consultant Pry.Mgr.: - -6GT t/�+� o A ❑Must meet lowest detection limits <br /> O possible for 8260 compounds ' <br /> r Consultant Phone#:�l �T*�l G7 Qo Fax M� ��-+�'f_34 0 o © 8021 MME Confirmation <br /> Sampler. ati a a " ❑Confirm highest hit by 8260 <br /> -,Sffivlc a Order#: ❑Non SAR: T— Q 3 v ❑Confirm all hits by 82b0 <br /> Field Repeat. Top Time New m W _ 2 ❑Run oxy's on highest hit <br /> P M le D Year Month D8 {a � I J Run oxy s on all hits <br /> Comments 1 Remarks � <br /> M All <br /> c0 <br /> 6 : <br /> ! P <br /> 4 - <br /> -- ti <br /> Turd Time Requested(TAT)(please circle) Re Da Time eceived by: Date Time <br /> TD;TAT 72 hour 48 hour Rel - <br /> 24 hour y.w ' 4 day 5 day a Time Received by: Date Time <br /> Data Package Options(please circle If required) Relinquished by: - Data:. : .Time Received by: Tun <br /> ate e f <br /> QC Summary w Type I-FujiF <br /> Type M(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier:` ReceiVed by: 11 _pate Time <br /> WIP(RWOCS) UPS FedEx Other ED0b <br /> Disk SM <br /> Temperature Upon Receipt_ `O° Custody Seals 7 Yes o a <br /> Lancaster Laboratories,Inc-,2425 New Holland Pike,PO Sox 12425,Lancaster,PA 17605-2425 (717)656-2300 3460 Rev. 10/04/01 <br /> Copies:White and yellow should accompany samples to Lana•" �bomtories. The pink copy should be retained by the client <br /> C. <br />
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