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ARCHIVED REPORTS_XR0004537
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004537
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Entry Properties
Last modified
3/10/2020 11:41:44 PM
Creation date
3/10/2020 11:19:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004537
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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Chevron California 'Agion Analysis RequestlChain of CL�Vdy <br /> +Lancaster Labora`orl � For La seer Lab ratartas use mytMwequafityisasaience �„ #: O sample#: ash 5 SCR#: <br /> Analyses Requestedt �p <br /> Facility#: SS#9-1452 G-R#386582 Global ID#TO607700554 Matrix Preservation Codes Preservative Codes <br /> osu <br /> Site Address-.334 EAST MAIN STREET, RIPON, CA H=HCI 7= NaOH!fate <br /> N=HNO3 B=NaOH <br /> Chevron PM:RC Lead Consultant:SECORRH Lo 8=H2SO4 O=Other <br /> Consultant/Office: C'rR, Inc., 6747 Sierra Court, Suite J, Dublin,Ca, 94568 3 w _� ❑ [I J value reporting needed <br /> b� a 3 n ¢ C ❑Must meet lowest detection limits <br /> Consultant Prj.Mgr.:Deanna i. Harding (deanna@grinc.cam) a U C3 possible for 8260 compounds <br /> cl <br /> Consultant Phone#:925-551-1555 Fax#: 925-551-7899 ©❑ o o 8021 MTBE Confirmation <br /> COD Sampler:HA{CT_ X E V o R _,., ,..__ ❑ <br /> Confirm highest hit by 8260 <br /> 5s�2 W <br /> Service Order#: —[]Non SAR: _ . L: d z Le) L, I ❑Confirm ori hits by 8260 <br /> Dates.- . .Time t TEp ._ - ;` `�` , _ _ ❑❑Ru _axy s on highest-- <br /> ?�55 n t hit <br /> Sample Identification _ - Collected Collected C7 U .rR 3` t] H m. Run oxy a ori al'hns <br /> F{ Comments I Remarks <br /> 6 <br /> -W <br /> W <br /> MW <br /> .. <br /> fl Q <br /> Jin ui pate Time: R' Date' Time <br /> Turnaround Time Requested(TAT)(please circle) ; <br /> STD,7A 72 hour 48 hour Ren Date Time R4 d by: Date Time <br /> 24 hour 4 day 5 day i' <br /> Data Package Options(please circle if required) ell ulah y ate Time Received by 13 YY <br /> Date Time <br /> OC Summary Type i—Full v _�,i R <br /> Relinquished by Commercial Ca r: Received Date <br /> Type VI(Raw Data) ❑Coen Deliverable not needed , .1 <br /> r <br /> UPS FedEx ther <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt 2 co Custody Seals lAdv Ye No <br /> Lancaster Laboratories,Inc.,2425 New holland Ake,PO Box 12425,Lancaster,PA 17605-2425.' (717)656-2300. 3460 Rev.7/30101 <br /> Copies:White and yellow should accompany samples fo Lancaster Laboratories. The pink copy should besetained by the dlent. <br /> 7 <br />
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