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ARCHIVED REPORTS_XR0006368
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_XR0006368
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Entry Properties
Last modified
4/7/2020 1:05:00 PM
Creation date
4/3/2020 4:43:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006368
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 /> Chevron California e • • Analysis • • OfCustody <br /> I <br /> Lancaster Leo &rl s For Lancaster Uborshwks use only <br /> Weequawyaasoe xel r Acct # �_ Sample# &1A1 77-7 2- ki <br /> Analyses Requested <br /> - <br /> Facility# SS#9-6171 G-R#385121 Global IDOT060770DO35 Matrix , Preservation Codes Preservative Codes <br /> Site Address 6633 PAGFIC AVENUE, STOCKTON,CA H=HCI T=Thlosulfate <br /> CL N=HNO3 B=NaOH <br /> S=H2SO4 0=Other <br /> Chevron PM RC i Lead Consultant SECORRH ,, � � F <br /> W <br /> Consultant/Office G-R, Inc, 6747 Si+Brra Court, Suite J, Dub6rt, Cs 9458 wo c ❑ 8 D J value reporting needed <br /> Deanna L Harding ' (deanna@gnnc com) , <br /> E ,5- — ❑Must meet lowest detection Amps <br /> Consultant Pr) Mgr G in possible for 8260 cm"nds <br /> Consultant Phone#925-551-7556 Fax P 925-551-7899 n 0 8021 MTBE Confimrat)on <br /> CM <br /> 12- ©Conlirrn highest hit by 82$0 <br /> Sampler l? I © E W ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR f „ a I g I <br /> ' Date Ti — ❑ + S $ iti ❑Run I oxy s on highe#t hit <br /> Sample Identification Collected lected 0 U � 9 O I' I <br /> []Run oxy s on all hits l <br /> I -W Comments 1 Remarks <br /> r If N <br /> MW—'4 -13'0 1 a <br /> - -0 <br /> X "A <br /> t <br /> I i <br /> I � ° <br /> � i r <br /> Re ,by l� ' <br /> Turnaround time Requested(TAT)(ptease circle) Time R Date Time. <br /> Trap <br /> TAT 72 tour 48 hour Do Tlme ` ReceM�d b) Date Time <br /> 24 hour 4 day , 5 day 4 ' <br /> Data Package Options(please arae N required) Relinquished by ! me Rived by g to Tlme <br /> QC Summa sy°��_ ✓ <br /> rY Type I—Fun Relinquished by Commercla ReCe I Time <br /> Type VI(Raw Data) []Coe R DeAverable not needed l 1 <br /> WP(RWQCB) UPS FedEx 0 w r N <br /> Disk Temperature Upon Receipt ?SC° Custody s Intect?� Ye No <br /> Lancaster Laboratories,Inc,2425 New Holland Plke,P 12425,Lancaster,PA 17605-2425 (717)658-2300 Rev 7MWi?1 <br /> i Copies White and yellow should accompany samples to LaneWborstories The pink copy should be retained by the client <br />
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