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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
Tags
EHD - Public
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ELIE& <br /> +Lancaster I_d Ori _ C1 For La tories use only �(� 7 o S-9 <br /> Whc�rPt�ualltyisasde XL Ar## -- Sample!#: ~��^_SCR#:, <br /> Analyses Requested <br /> "7`EJ�Q 'T 7SS <br /> Facility#: Preservation Codes <br /> 10 <br /> Site Address: 33 �rf1 S7� -Ilk 4 H= T=Thiosulfate' <br /> J x CI3 B= NaOH <br /> Chevron PM.- ;, fs, Lead Consultant: S=H2SO4 O=Other <br /> Consultant/Offf , / r� d <br /> r1s�i� `i c © c 0 J value reporting needed <br /> Consultant Pd.Mgr.: a*Lo4a_. .. 41-05A01 NU <br /> ©Must meet lowest detection limits <br /> v 0 possible for 82W compounds <br /> Consultant Phone#: "��51-Y) Fax# -• a'r� o 0 a ❑ <br /> Sampler: a► a 8021 MTBE Confirmation <br /> Service Order#: QlVon SAR: Ul ❑ ❑infirm highest hit by 8260 <br /> FL Z !im ©Confirm all hits by 6260 <br /> FieldRepeat Top Time New m E w x $ m a ^ p Run`oxy's on highest hit <br /> Pointa 'x a 1 de t ea h ed Field IL t7 0 to- m : xy's on all hits <br /> Run a <br /> �r r <br /> Comments 1 Remarks <br /> SO QS / T <br /> f <br /> f <br /> n <br /> Time R uested TA Relinqu- a Time k�e d by: Date Time <br /> eq � Tf(please circle)72 hour 48 hour 4 day 5 day "Time Received by: Date Time <br /> Data Package Options(please circle If required) rnqu s y: ate Time Received by: <br /> Time <br /> QC Summary Type I-Full <br /> Type Vk(Raw Data)'," �❑l,',oett Deliverable not needed Relinquished by om rcial Carrier. � by: r Time <br /> WIP(RWQCS) UPS FedEx other <br /> Disk Temperature Upon Receipt C. ' <br /> Custody Is Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster, PA 17605-2425 (717)65&2300 3460 Rev, 10/04/01 <br /> Copies:White and yellow should ecoompany samples to Lancastp boratories. The pink Copy should be retained by the client. <br /> l• <br />
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