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ARCHIVED REPORTS_XR0004554
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004554
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Entry Properties
Last modified
3/10/2020 10:42:54 PM
Creation date
3/10/2020 11:30:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004554
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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• • • 1 ' • • • ' • • ! 11ML907 <br /> Laaster Laboratories `j For Lancaster Laboratories use only <br /> � Cj f� �j L,S <br /> Where c�ralriYrs a saence Acct � b�Q Sample# <br /> o e) Analyses Requested <br /> 1=arAlity# `-S#9-1452 G-R#386582 Global 10#TO607700554 Matrix reservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address 334 EAST MAIN ST RIPON, CA > N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consuitant SECORRF��� m S=HzSOa O=Other <br /> G-R, Inc , 6747 Sierra Court, Suite J. Dublin, Ce 94568 w ❑ ❑J value reporting needed <br /> Consultant/Office N g ❑Must meet lowest detection limas <br /> Consultant Pry Mgr Deanna L Harding (deanna@gnnc com) �� � possible for 8260 compounds <br /> Consultant Phone# - - Fax# 5-551-7899 6021 MTBE Confirmation <br /> 92 <br /> ❑Confirm highest hit by 8260 <br /> Sampler• E ❑ <br /> $ ❑ <br /> 0 Q z � � Confirm all hits by 8260 <br /> Service Order# ❑Non SAR 5-z © _ $ $ A ❑Run_oxy s on highest hit <br /> Date Time L° om — f ❑Run oxy s on all hits <br /> Sample Identification Co!ected Collected 0 t� ca O !•- m <br /> Comments!Remarks <br /> c <br /> W+ <br /> MW- O <br /> 1✓• 14106 s <br /> �✓ - � Ill <br /> ft7tv - <br /> tiv- --- <br /> 16 ro <br /> w- ro D <br /> ffliv 7D,, 4- <br /> /A adcx <br /> Relinquish fTine <br /> Received by D to Time <br /> Turnaround Time Requested(TAT)(please cucle) <br /> 72 hour 48 hour a by R db to me <br /> our 4 day 5 day 1It u�sh byt R ceiv j by Date Time <br /> Data Package Options(please circle If required) gl d-5 �T r�0 Y`,A.Q_ <br /> OC Summary Type I--Full Relinquished by Commercial Camfr <br /> Type VI(Raw Data) ❑Coelt Deuverabie not needed Re b ate Time <br /> WIP(RWQCB) UPS FedEx Other ' � (� <br /> Disk Temperature Upon Receipt x_?^Co Custody Seals Intact? 4es No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster PA 17605-2425 (717)656-2300 3460 Rev 7/30101 <br /> Copies White and yellow should accompany samples to Lancaster Ligmtones The pink copy should be retained by the client <br /> 1 y !. <br />
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