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ARCHIVED REPORTS_XR0006375
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006375
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Entry Properties
Last modified
4/7/2020 1:06:04 PM
Creation date
4/3/2020 4:46:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006375
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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Lancaster Laboratories (� J For Lancaster laMmt� us only6a DAcct # to Sample# R� - I SCR# <br /> Wwe4��Y c _ <br /> Analyses Requested r14 <br /> Facility# 9-6171 Jab#385121 Globel ID#TO607700035 Matrix Preservation Codes Preservative Codes <br /> Site Address 6633 PACIFIC AVE , STOCKTON, CA H=HCl T=rniosulfate <br /> C N=HNO3 B=NaOH <br /> Chevron PM Robert Cochran Lead Consultant Secot S=H2SO4 0=Other <br /> Consultanttoffice G-R, Inc , 6747 Sierra Court,_Dublin, Ca 94568 B a c Ei ❑J value reporting needed <br /> *6 a 2 8 ©Must meet lowest detection limits <br /> Consultant Pq MgPeanna L Hardin Deanna rine com o_ z o possible for 8260 compounds <br /> Consultant Phone 5-551-7555 Fax* 925-551-7899 ❑❑ o © � 8021 MTBE Continuation <br /> r. o A Confirm highest hit by 8260 <br /> m E3Sam ler <br /> Service Order# ❑Non SAR ¢ z g [3 Confirm all tats 5Y 8260 <br /> p + R [3 Run�„oxy s on highest hit <br /> Date Time 1! o o ° o �- ❑Run,oxy s on all hits <br /> Sample Identification Collected Collected 00 W � 0 m <br /> 7 a p p Comments!Remarks <br /> i <br /> RelinquisW by Date Time Knt. Ti me <br /> Tu ound Time Requested(TAT)(please circle) y <br /> TD T V 1513 <br /> 72 hour 48 hour R Time R by me <br /> 2 ur 4 day 5 day Date Time R ved b me <br /> Data Package Options(please circle if required) -(� �� 1 ftor vim. �� <br /> OC Summary Type I—Full Relinquished by Commercial Carrief Received Date Time <br /> Type VI(Raw Data) []Coelt Deliverable not needed <br /> LIPWQCB} UPS FedEx r Temperature Upon Receipt C. Custody Seas Intact? es No <br /> Lancaster Laboratories,Inc.2425 New Holland Pike,P6ftx 1 caster,PA 176052425 (717)656-2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the dient. <br />
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