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FIELD DOCUMENTS
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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3978
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2900 - Site Mitigation Program
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PR0518304
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Last modified
11/19/2024 1:56:54 PM
Creation date
4/1/2020 4:02:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0518304
PE
2950
FACILITY_ID
FA0013818
FACILITY_NAME
LOW PRICE AUTO GLASS
STREET_NUMBER
3978
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95205
APN
17917103
CURRENT_STATUS
01
SITE_LOCATION
3978 S HWY 99
P_LOCATION
01
QC Status
Approved
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EHD - Public
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• - • • <br /> i For Lan ter Laboratories use only 252855 <br /> Lancaster Laboratories Acct.t. i `� y Sample#: 68 S S L 8 g—8 9 SCR#: <br /> �w 1N1tere quality is a science. <br /> Analyses Requested Gr 3� $a a 3 <br /> Preservation Codes Preservative Codes <br /> Facility#: D�I D S H=HCI T=Thiosulfate <br /> �q a N=HNO3 B=NaOH <br /> Site Address: S=H2SO4 O=Other <br /> Chevron PM: �j1`�a n 1.Ja�fie- —Lead onsultant: A it C 4 '' t ❑J value reporting needed <br /> C�(t nn pn.,e Sd,r 12S D W <br /> ConsultantlOffice: �g �;, ❑Must meet lowest detection limits <br /> �JG;b c o possible for 8260 compounds <br /> Consultant Pd.Mgr.: � %c� Wc� "+� B D <br /> U D � <br /> t 6 `-7 _ y l 8021 MTBE Confirmation <br /> 3t31 Fax ��Gie .0 N cl- <br /> Consultant Phone#: �Il,� � � �' o � <br /> ti ty,�� D Confine highest hit by 8260 / <br /> Sampler: (L!G�w4s�� 2 E m S m ❑ r� ❑Confirm all hits by 8260 <br /> Service Order#: D Non SAR: a $ $ ,tj D Run_oxy s on highest hit <br /> Field Repeat Top tTimeNew 72 <br /> o o w = = ❑Run oxy's on all hits <br /> Point Name Matrix Sam le D h Year MoJNY-- Field Pt. U m ~ ~ ° OK Comments I Remarks <br /> Al <br /> -�-w- IV — t t. N ^JW t�fi3 O 3d°IdiT-AI <br /> Relinquished Date Time Received by: Date Time <br /> TA*mround Time Requested(TAT)(please circle) 1 Ob�9 <br /> STD. T <br /> 72 hour 48 hour Relinqw ed by: Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Relinquished by: Date Time Received by: Date Time <br /> Data Package Options(please circle if required) <br /> QC Summary Type I-Full Relinquished b mmercial Carrier. Received , , . , /i Date Tie <br /> Type VI(Raw Data) D Coelt Deliverable not needed UPS FedEx Other t!�"1/ <br /> WIP(RWQCB) Custody Seals Intact? Yes No <br /> Disk Temperature Upon Receipt . C° <br /> 3460 Rev.10/04101 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PD Box 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies:White and yellow should accompany samples to-Lan teailboratories. The pink copy should be retained by the client. <br />
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