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ARCHIVED REPORTS_XR0008433
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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4344
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2900 - Site Mitigation Program
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PR0541976
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ARCHIVED REPORTS_XR0008433
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Entry Properties
Last modified
10/10/2020 10:24:50 PM
Creation date
7/9/2020 9:42:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008433
RECORD_ID
PR0541976
PE
2960
FACILITY_ID
FA0024090
FACILITY_NAME
CHEVRON FACILITY #9-9840
STREET_NUMBER
4344
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
10102157
CURRENT_STATUS
01
SITE_LOCATION
4344 WATERLOO RD
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
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EHD - Public
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r n u <br /> Chevron California Region Analysis ReilquestlChain of Custody <br /> *i ,,,,�.,�} ,,{,�,,,,.,},� I �j�� For Lancaster Laboretortee use only <br /> Laxaster L�dJI)1 a W o i Acct # _,& Sample# LJ)a Uhl ~It S6R# t0 <br /> Vvfwe qj*is a <br /> o , 6-71 15� �I� Q'�� Analyses Requested <br /> ix Preservation Godes preservative Codes <br /> Facility# SS#9-9840 G68d6 R#38Global ID#T06077M71 Bmatrix ii 1� I H=NCI T=Thiosubte <br /> A344 WATERLOO ROAD, STOCKTON, CA N=HNO3 B=NaOH <br /> Site Address ' I �I S=H2SO4 O=Othar <br /> SECORRH I I E3,1 O <br /> Chevron PM RC Lead Consultantm y m I value reporting needed <br /> Consultant/OtTice G-R, Inc, 5747 Sierra Court, Sade J, Dublin, Ca 94558 35 w c ❑ <br /> o w � I ❑Must meet lowest detection limits <br /> Deannal. Harding (deenna�gnnc com) I It C. z possible for s260 compounds <br /> Consultant li Mgr U ❑ <br /> 8027 MTBE Confirmation <br /> Consultant Phone#925-551-7555 Fax* 925-55117899 II ❑ m � � � � � ❑Cor>timti highest hit by e2so <br /> Sampler II E w ❑ ' ❑Confirm all hits by 8260 <br /> I <br /> � [3i a � Ln is I Run^oxy s on highest hit <br /> Service Order P []Non SAR I _ ❑ ??+55 I R s on all hits <br /> Date Time i1 LI 3 o h m ❑ � ' <br /> Sample Identification <br /> Collected Collected <br /> � 6L � II II Z � Comments 1 Remarks <br /> w- 1 <br /> �/4 II ' <br /> w-1 Qq <br /> 4-L <br /> - 1 !I I <br /> r <br /> w - L t II <br /> J"YiL✓- S l��- it � <br /> t�S ll <br /> II II f <br /> II I� i <br /> ' II !I I <br /> Rel iu�uished !i� 17 Received by Pat Time <br /> LIM <br /> R24hour <br /> me Requested(TAT)(please circle) l F _72 hour 48 hour ? Rel' } by 77ilat Time R by 1 m <br /> All <br /> 4 day 5 day ii ii i 3 ! <br /> =by, ata Time R Ived by' � Date Time <br /> Data Package Options(please drele H required) jF >< 5?� j Tby r a7� D <br /> OC Summary Type I—Full Relinquished by CommercialCa r Rece Y Time <br /> Type VI(Raw Date) ❑Coed Deliverable not needed f 11 )�b� <br /> UPS FedEx Cher <br /> WIP(RWQCB) I� " <br /> Disk I, Temperature Upon Receipt ` Custody Seals Intact? es No 1 <br /> h 11J!, <br /> 346D Rev 7130101 <br /> Lancaster Laboratories,incl11 11,2425 New Holland Pike.,P <br /> x 12425,Lancaster,PA 17605-2425 (717)Ei56-23W <br /> Copies White and yellow should acoornparry sampiea to LaIK <br /> Wboratafts The pink copy should be retained by the till nt . y <br />
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