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ARCHIVED REPORTS_XR0006367
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6633
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006367
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Entry Properties
Last modified
4/7/2020 1:04:56 PM
Creation date
4/3/2020 4:42:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006367
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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I I <br /> 0 s • 4I f0 0 <br /> i I I <br /> +Lancastee aO &ries iL0 ` ForQuaftyaasoaxe (/ Acct# Sample# sb Drat u a only <br /> f Analyses Requested <br /> Facility# SS09-6171 I G-R#3$5121 Global ID#TO607700035 Matrix Preservation Codes <br /> Preservative Codes <br /> Site Address6633 PACIFIC AVENUE, STOCKTON, CA FI=HCI t=Thwsulfate <br /> --7N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH S=H2SO4 Q=Other <br /> G-R Inc 67471 Sierra Court, Suite J, Dublin, Ca 94568 0 w ❑ ❑ ►ialue mine <br /> 120 <br /> ConsuitantlOffice ' <br /> Deanna L Hardin deanna nnc com <br /> Consultant Prl Mgr I { �9 ) pY° Z 0 Must meet lowest detection limits <br /> 00 <br /> possible for 8260 compounds <br /> Consultant Pho e#925-551-7555 Fax# 925-551-7899 o ❑ <br /> 8021 MTBE Confim>86on <br /> Sampler r � N <br /> ' � - m m v <br /> m O M ❑ 13 Confirm highest hit by$260 <br /> Service Order# ❑Non SAR I a t z ❑Colr>flrm all hits by 8260 <br /> R <br /> I Date Time' E — m ❑ ?�+�5 a 8 ❑Run_oxy s on highest htt <br /> Sam le ldentiftcatlon I Collected Collected m 11 1 ! ❑Run,oxy s on all hits <br /> 1 <br /> -/2��� W x I Comments/Remarks <br /> Ca <br /> _o¢ x <br /> x <br /> i -13-a�F s <br /> - X <br /> x XX <br /> + I i <br /> i <br /> I <br /> I <br /> Turnaround Time Requested(TAT)(please circle) ReA Date +Time Recehred by to Time <br /> TD T 72 hour 48 hour Reil �T <br /> 24 hour 4 d day 5 day n�'�h� at Time R I <br /> T <br /> Data Package Options(please ciraie if Red I ' I33 <br /> requ;!red} Time Received b <br /> y Z 1 F>r'L `�� �! b Btu <br /> QC Summary Type I - Full i pL f t} <br /> Type A(Raw Data) ❑CoeltlDeliverable not needed Relinquished by Commercial Ca <br /> WIP(RWQCB) UPS FedEx Other I tDisk � Temperature Upon Receipt ^ C° ? <br /> Yes No <br /> # Lancaster l-aboratories,Inc,2425 New Holland Pika,PO 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> • COpres White and yellow should accompany samples to La Rev 7/30101 <br /> pl boratOms The pink copy should be retained by the client <br />
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