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ARCHIVED REPORTS_XR0004555
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004555
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Entry Properties
Last modified
3/10/2020 11:43:12 PM
Creation date
3/10/2020 11:31:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004555
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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Chevron California P--%gion Analysis RequestlChain of 0,140ody <br /> r ,,�,,,,,,, For Lancaster Laboratories use only -. <br /> Lancaster Lab &ries Acct # Sample# §01P3,17 <br /> Whe►e cNalrtyrs a science <br /> Analyses Requested <br /> SS#9-1452 G-R#386582 Global IM06077 VV00554 V Matrix Preservation Codes Preservative Codes <br /> Facility# f1=HCI T=Thiosulfate <br /> Site Address 334 EAST MAIN ST, RIPON, CAN=HNO3 8=NaOH <br /> a <br /> Chevron PM RC Lead Consultant SECORRH S=H2SO4 O=Other <br /> G-R, Inc , 6747 Sierra Court, Suite J, Dublin, Ca 94 w ❑ ❑J value reporting needed <br /> Consultant/Office m 0 <br /> g (deanna ftrinc corn) a z o `" 05 E3 must most lowest detection limits <br /> Deanna L Hardin <br /> Consultant Pq Mgr cn possible for 8260 compounds <br /> ❑❑ w o ❑ C]Consultant Phone# 925-551-7555 Fax# 925-551-7899 0 o 0 8021 MTBE Confirmation <br /> cn o a <br /> Sampler V Z6'A� m ❑ B [3 �highest hit by 826D <br /> a E ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR z �' �' I <br /> 2 m ❑ $ V ❑Run oxy s on highest hit <br /> Date Time - v <br /> Sample Identification Collected Collected C2 U � O � N -] Run_oxy s on all hits <br /> I LK q W1 Comments 1 Remarks <br /> MAI- 1s-3Jr <br /> Mw- to <br /> r.✓- 3 Aa <br /> mGJ 6 <br /> M w- 10W <br /> Relinquisat Time Received by D ds Time <br /> Turnaround Time Requested(TAT)(please circle) �„� �' 1�y <br /> 72 hour 48 hour wished by ie Time Re4ed b 1 Time <br /> ur 4 day 5 day <br /> -Debit Package red) u y- Dates <br /> Query } Type I—Full Relinquished by Commercial Carrie Rece `by Spats Time <br /> T Vi Raw Data ❑Coelt Deliverable not needed UPS FedEx <br /> r if <br /> WIP(RWQCB) <br /> Disk Temperature Upon Recelpt Custody Seals Intad7 NO <br /> 4 Ind Pike PO Box 12425'Lancaster PA 17605.2425 717 656-2300 3460 Rev 713r 1 <br /> Lancaster Laboratories,Inc,2 25 New Hata ( } <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the Ghent <br />
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