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ARCHIVED REPORTS_XR0006387
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6633
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006387
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Entry Properties
Last modified
4/7/2020 1:14:46 PM
Creation date
4/3/2020 4:55:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006387
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� Ili t! i i ils i i i i Ei l� i Alli i i <br /> Lancaster Labo atol'es # 1 �QrSmo La star Labonrtwfes'f only <br /> �y ( i) ell �-f {`7ii SCR/��/C� <br /> Analyses Requested �} <br /> SS;9-6171-OML GR#3$5121 Global ID#T0607700035 Matrix Preservation Codes Preservutive Codes <br /> Faorl�ty# H=HCI 1 =ThwsvEfate <br /> Site Address6633 PACIFIC AVENUE, STOCKTON, CA � N=HNO3 B=NaOH <br /> BBLJS Q S=H2SO4 0=Other <br /> Chevron PM lead Consultant C N 2 � p J value repwbng needed <br /> GR, Inc.,6747 Sierra Court,Suite J, Dublin,Ca 94568 d ,�/ <br /> ConsullantlOrrice V tusE meet lowest detection I+mHa <br /> Consultant Prj Mgr Deanna L #-lording (deanna f grin coat) cl,❑© o � Q a o <br /> Possible for 8264 codipounda <br /> Consultant Phone#925-551-7555 Fax* 925-551-7899 6 8 9 N ` 8021 MTBE Confirmation <br /> 0 Confirm NOW hit by 8260 <br /> Sampler {✓ F 1 S S' E g 0 ❑Ctmflmr all hits by 8260 <br /> Service Order# ©Non SAR &1 .0wt © m $ t� tu ©�—�s on highit <br /> ael h <br /> Date Time 1! E M — o ' El Run,,,_,�oxy S on all hila <br /> Sample Identification <br /> Collected Collected <br /> 0 O m <br /> W � X Comments 1 Rerna+tcs <br /> wAsv v z3 L4-8 I t wa <br /> fru- 1 uPGE GNtt,,<ab� <br /> UPArroX <br /> 1210 <br /> /t1�✓, 4 <br /> AIII <br /> -10 <br /> - -!1 <br /> nqw- �, 15 _ <br /> AV-l3 !sm <br /> Relinquished Dale T'sne Received tyr - <br /> Tumaround Time Requested(TAT)(ptease oacle) <br /> T TT 72 haw 48 hour Retlnquisl*Ad byr by mB <br /> 24 hour 4 day 5 day z 11161 1 Z5-0 <br /> Raft edt Time Rete b"Y _ Dale Time <br /> Data Package Options(please circle it required) j� <br /> QC Summary Type I—Fut Relinquished by Commensal U br ,�Il� ice/ <br /> Type Vl(Raw Data) C1 Coen Deliverable not�WF/EDD UPS FedEx Other 04 !� <br /> WIP(RV+1QCi3) <br /> Disk Temwatum upon Recelptd � s�C° CuslodiLSea191n1a es No <br /> Lancastor t sboratones,Inc,2425 New Holland Pike,PO Box 12425 Lancaster,PA 17605-2425 (717)856-2300 3480 Rev 7130!41 <br /> Coples Whtte and yellow should accompany samples to Lancaster LeboraWrim The plink copy should be retained by the client <br /> I <br /> I <br />
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