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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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California R r nalysis <br /> RequestlChain of rd <br /> r - <br /> 74&LawgsWr 6hinrato4es ?^ Acd For Sieg use only._,:.,, .- <br /> ;. �: . .1 U�oq- Sample#:�r 11 .�i�� q)5995 <br /> tMiere qua'ftya a science - <br /> Analyses Requested <br /> Facility#: a � Preservation Codes Preservative Codes <br /> Site Address: 33 C a ��� a H=HCl T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM: K Lead Consultant: S=H2SO4 4=Other <br /> U <br /> ConsultanVOf�ce: ' t S G.wtP c ❑ ❑J value reporting needed <br /> N ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.:= abke &aVIS © possible for 8260 compounds <br /> C) Cl <br /> Consultant Phone#: `��OU11/1��00 � F,a�xM�gf ^c�� �0 o a 0 � 8021 MTBE Confirmation <br /> Sampler._—`.eSllm Q /r Y_1 I^ i_(�l� uj o ~ ❑Confirm highest hit by 8260 <br /> Service Order* ❑Non SAR: S. Z 9 'n � � � 0-Confirm all hits by 8260 <br /> Field Repeat Top lime New >= 16 + ❑Run_ox)(s on highest hit <br /> n�n ❑Run_ on all hits Pamal blame Matrix h Year o <br /> 19 — i o y o d y$ Comments!Remarks <br /> �pH �per.I�. <br /> �ta�tt <br /> fSTD. <br /> Relinby: Date Time Received by: Date rune and Time Requested(TAT)(please circle}T 72 hour 48 hour Relinquished Time Received by: Date Time <br /> 24 hour 4 day 5 day p4j_ I Z <br /> Data Package Options(pe circle if required) Reli ui h e Received by: Txne <br /> leas <br /> Summary Type I-Full <br /> Ty Relinquished mercial Carrier: Rece by: ,Date Time <br /> Type VI(Raw Data) ❑CoeR Deliverable not needed � (� <br /> WIP(RWQCB) UPS Fed Other - c <br /> Disk Temperature Upon Receipt 0 C° Custody Seals'44 Yes <br /> Lancaster Laboratories,inc.,2425_Now Holla4dPike,PO Boys 12425,Lancaste PA1I505 2425 (7i7}656-2300-: 3460 Rev.10104J01,--_...- . <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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