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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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r-7 (-7 r-�, r-1 r-" fid': 1-.. r--j ..._ r-7 ._ ...r"1 9,..... r <br /> Chevron • a Request/Chain <br /> ' • of <br /> �Lancaster LdbQ1�b des <br /> For Inre us!only /�.r. ! <br /> w._:. -Acct. 1 u0U1. ! Sample#: sI`7G7Vt-c � - SCR#:q1(V5 I i� <br /> —. <br /> --11 Analyses Requested <br /> Facility Preservation Codes Preservative Codes <br /> - - � H=HCI - T=Thiosulfate <br /> Site Address: N= HNO3 B=NaOH <br /> Chevron PM: ✓ Lead Consultant: _ c c le _ _ � � S=H2SO4 O=Other <br /> Consultant/Office: dC r'Yn �.Q vc ❑ c� ©J value reporting needed <br /> M N <br /> Consultant P6.Mgr.:r QV IJGt h o �. �„- ❑Must meet lowest detection limits <br /> Consultant Phone#:[�j �a 0 3y Fax#: i�I tr n C�1-bq 3 0 o =� 0 11 ❑ possible for 8260 compounds <br /> L cr <br /> 0 N0 go 8021 MTBE Confirmation <br /> Sampler:�1Q_Ve. h a2y i t '— 2 E m o o ❑Confirm highest hit by 8260 <br /> Service Order#: _ El Non SAR: o z _ T N ©Confine all hits by 8260 <br /> Field Repeat T m + �. a A ❑Run_oxy's on highest hit <br /> p op. Time New o o ,'� x x ❑Run,oxys on all hits <br /> Point ams x Sa ! De Year Mo a C Ilected Field Pt 0 v � m � r <br /> 0-5- A 1 )1,- Comments 1 Remarks <br /> LA-) '`• OL4 10 17 14. <br /> Turnarou4 day 5 day nd Time Requested(TAT)(please circle) Relinqu' by: ate Time Received by: Date Time <br /> i3 <br /> STD. AT 72 hour <br /> 24 hour 48 hour linqui ed Date Time Received by Date Time <br /> Data Package Options(please circle if required) elin uis d b Dale Time Received by: Date Time <br /> OC Summary Type I-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished b martial Carrier: <br /> ReFelved by: tDa Tim <br /> WIP(RWOCS) LIPS FedEx Other r <br /> 00 <br /> Disk Temperature Upon Receipt " Co Custody Seals ct? Yes <br /> Lancaster Laboratories,Inc.,2425.t�Huiland_Pikg,,pO.Box 12425,_�ar?caster,PA 17605-2425 (717}656 230D 3460 Rev. 1=4101„ <br /> - - _,._....., _ <br /> Copies:WiR-e arnd yellow should accompany samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />
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