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ARCHIVED REPORTS_XR0004535
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004535
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Entry Properties
Last modified
3/10/2020 11:55:29 PM
Creation date
3/10/2020 11:18:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004535
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chevr <br /> • California*gion Analysis • • of • • <br /> Lancaster Laboratoriesa For Lan star Labo torte u only u <br /> V0*mgw#ty&ascience <br /> Acct.#: �` sample#: r� 1 QY76 7 S� <br /> ^ r- Analyses Requested _ <br /> Facility#: SSi9-1452 G-R1f386W2 Global INT0607700554 Matrix Preservation Codes Pro iervadve Codes <br /> Site Address EAST MAIN STREET, RIPON, CA H=HCI T=Thiosuifate <br /> N=HNO3 B=NaOH <br /> Chevron PAC Lead ConsultA MBRLATSm w S=H2SO4 O=Other <br /> Consultant/Officp-R, Inc., 6747 Sierra Court, Suite J, Dublin,Ca. 94568 0 ut13p J value reporting needed <br /> Consultant P .M ng i@g ) a 13 Must meet lowest detection limits <br /> uanr <br /> 1 i 9 ., nna L. Harding deanna nnc.corn d Z �0 El possible for 8280 compounds <br /> Consultant Phone f Fax AD25-/551-7899 o + p 8021 MTBE Confirmation <br /> Sampler: p ❑ 0 Confirm highest hit by 8260 <br /> Service Order#: C1Non SAR: z u, ,,, _ [I Confirm all hits by 8260 <br /> - Date Time o -- - - - [3 Ruff�azy a on highest hit <br /> Sample Identification► Collected. Collected 0 U 8 9 6 � � � � � ❑Run�oxy a on all hits <br /> /L oY 1 21 AX I Comments 1 Remarks <br /> 0C 2o <br /> t'.tl • O SI � <br /> LO o a x <br /> 4�1- G <br /> Mc..- s d 30 <br /> /hG•. <br /> SID 08-65- <br /> 0 <br /> 71 4 <br /> !'hGH•7DIXa <br /> W . <br /> Relinquished by: Dpte Time D to Time <br /> - Turnaround Time Requested(TAT){please circle} � <br /> 72 hour 48 hourl Tinge Rto . T <br /> ur 4 day 5 day ime <br /> Z 2 <br /> Data Package Options(please circle if required) �� � hate Time Receiv . Date Time <br /> OC Summary Type I—Full o <br /> Type VI(Raw Data) [ICoelt Deliverable not needed Relinquished by Commercial R <br /> Date Tim <br /> WIP(RWOCB) UPS FedEx .Other <br /> Disk <br /> AS- <br /> Temperature Upon Receipt is—)—c° Custody Is Intact? e es No <br /> Lancaster laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancest•y PA 17805-2425 (717)6W2300 3460 Rev.7130101 <br /> Copies:White and-yellow should accompany samples to Lancaster Laburatoris.-Thaj*nk cd�y should be retained by'ihe client.. <br />
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