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ARCHIVED REPORTS_XR0005552
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_XR0005552
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Entry Properties
Last modified
11/19/2024 1:50:29 PM
Creation date
3/30/2020 2:21:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005552
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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Chevron California,, <br /> �j Lancaster Labmbriesf For Lancaster Laboratories uj°only <br /> y. 1Mse2 rsaSae►Ke Acct # i ��pSample# -3 4 68 "1 f SZTf# <br /> Analyses Requested <br /> Facility# SS#9-2396 G-R#i386960 Global ID#TO607700639 Matrix Preservati n Codes Preservative Codes <br /> Site Address 25651 HIGHWAY 99 NORTH, ACAMPO, CA a JL H=HMOs t3= hiios ffate <br /> Chevron PM RC Tread Consultant SECORGM S=1'I2SO4 O=Other <br /> 12 <br /> ConsultantlOffice G-R, inc , 6747 Sierra Court, Suite J, Dublin, Ca. 94 10 G ❑ ❑J value reporting needed <br /> 900 ❑Must meet lowest detection limits <br /> Consultant Pal Mgr <br /> Deanna L Harding (deanna@gnnc corn) 4 U x = possible for 8260 compounds <br /> ❑ <br /> Consultant Ph e# 925-551-7555 Fax# 925-551-7899 ❑ 0 o ❑ 8021 MTBE Confirmation <br /> Sampler fly l _ 0 <br /> ;! [3Confirm highest hit by 8260 <br /> Sam <br /> p a E �" ❑ 4-k <br /> ❑Confirm all hits try 8260 <br /> Service Order# ❑Non SAR " z lk <br /> w to <br /> Date Time jo E _0 ? $ $ ;! [IRun_oxy s on highest h[t <br /> Sample Identiflcatlon Collected Collected t 7 y 3: b m [3 Run_oxy s on all hits <br /> W C? XXI Comments 1 Remarks <br /> x <br /> s x <br /> Turnaround Time Requested(TAT)(please circle)rcle) Relby. Dajtto Time D11 j3a1, <br /> 72 hour 48 hour �ishedT,A Time Received by QO Time <br /> 24 hour 4 day 5 day � 1 <br /> Data Package Options(please circle if required) Relinquished by Time Received by Date Time <br /> DC Summary Type I—Full 0210 -71103 <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Ca 4 Receiv Data I Time <br /> WIP(RWQCB) UPS FedEx lher <br /> Disk Temperature Upon Receipt CO Custody Seals In No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratones The pink copy should be retained by the client <br />
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