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ARCHIVED REPORTS_XR0005500
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25651
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2900 - Site Mitigation Program
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PR0504875
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ARCHIVED REPORTS_XR0005500
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Entry Properties
Last modified
11/19/2024 1:50:28 PM
Creation date
3/30/2020 2:16:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005500
RECORD_ID
PR0504875
PE
2951
FACILITY_ID
FA0006377
FACILITY_NAME
CHEVRON PRODUCTS CO (INACT)
STREET_NUMBER
25651
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514120
CURRENT_STATUS
02
SITE_LOCATION
25651 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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e• - <br /> ~d rr,, <br /> '�V 'q���� <br /> +Lam&VrL&w&des ����r J <br /> For � use only <br /> Where aasnence �3v�o��~� t `{ Sample#- / SCR <br /> Cambria MTI Project #6111-2044 Analyses Requested <br /> Facilay# S8#9-2396 G—R#386960 GLOBAL ID# T0607700639 Matrix Preservation Codes Preservative Codes <br /> Site Address 25651 Highway 99 North Acam o, CA H a N=HN= T=D3 B=NNeOHaOHlfata <br /> Chevron PM Lead Consultant CAMBRIABE t3=H2SO4 O=Other <br /> ConsultanUOfticeC—R Inc 6747 Sierra Ct Dublin CA 9-4568 m+ ❑ c <br /> ❑J value reporting needed <br /> � N Aust meet lowest detection emits <br /> Consultant Prj Mgr _ Deanna L. Harding deanna@grinc.com k C] � P=Ible for 826D compounds <br /> Consultant Phone# 925-551-7555 Fax#- 925-55177899 © ,, o © 8021 MTBE Confirmation <br /> Sampler ! <br /> LU <br /> X E3 Confirm highest hit by 8280 <br /> Service Order# r O E 9 § ❑ 13 Confirm all hits by 8260 <br /> ON Non SAR a z' <br /> Date Ti E — © S4 + [3 Run_oxy s on highest hit <br /> le Identlfle n Collected Collected to A 3 ' o t° * I I ❑Run oxy s on alt hits <br /> GLA 217/6 K XI I':k I I I Comments J Remarks <br /> 3 <br /> fi <br /> x <br /> i <br /> Turnaround Time Requested A ' Dat Time R Date Time <br /> a R �(please arcle) I br 3 J /524 <br /> 5Tp TAT 72 hour 48 hour Relinquished by, t R ived by' to to Time <br /> 24 hour 4 day 5 day d S/Time ' <br /> Data Package Options(please circle Ir required) Relinquished by Date Time Received by ate Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier ReCWed by' Date Time <br /> WIP(RWdCB) UPS FedEx Other <br /> Disk Temperature upon Reoelpt C° Cust ch No <br /> Lancaster Laboratories,Inc.,2425 Now Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)65L62300 <br /> 3460 Rev 71 0 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink oopy should be retained by the silent <br />
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