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EHD Program Facility Records by Street Name
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2103
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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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Entry Properties
Last modified
6/11/2021 4:58:27 PM
Creation date
6/11/2021 3:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543854
PE
2960
FACILITY_ID
FA0024935
FACILITY_NAME
FORMER CHEVRON 94054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
01
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Chevron California Region Analysis Request/Chain of Custody <br />Lancaster boratories <br />Environmental <br />eurofins For Eurofins Lancaster Laboratories Environmental use only <br />Acct. # Group # Sample # <br />Instructions on reverse side correspond with circled numbers. <br />Client Information Matrix i Analyses Requested <br />SCR #: <br />F!if§il. igi-4054-0ML G-R#17155218 Globrib#70607700063 Potable 0 Ground Water NPDES El Surface 0 BTEX + MTBE 8021 fl 8260 CI TPH-GRO 8015, El 8260 Ei 17H-DR0 8015 without Silica Gel Cleanup LI TPH-DRO 8015 with Silica Gel Cleanup L] 8260 Full Scan Total Lead Method Dissolved Lead Method a) i <br />Results In Dry Weight <br />El J value reporting needed <br />0 Must meet lowest detection <br />limits possible for 8260 <br />compounds <br />El 8021 MTBE Confirmation <br />El Confirm highest hit by 8260 <br />Confirm all hits by 8260 <br />D Run oxy's on highest hit <br />0 Run _ oxy's on all hits <br />sOVVIIVIOUNTRY CLUB BLVD., STOCKTON, CA Soil 0 Sediment 0 c rg2113retr'f444 xl 80 IN <br />0 'Total Number of Containers al <br />C <br />a) <br />0 <br />re.-\\., <br />C) <br />-.0 <br />t\-- <br />'\, <br />CI. <br />-•..,.._ <br />‹C <br />I—' <br />r- \ <br />0 <br />n, . 1 s., <br />Nn <br />le—) <br />\.\1 <br />_itt <br />Con PM STANTECTF Lip116easultant <br />q91x1rItiffilMitin Inc., 6805 Sierra Court., Suite G, Dublin, CA 94568 <br />ciNflintitt t NtirclIng, deannaegrinc.com Composite Sampler <br />\21,.../.___ <br />Soil Collected la <br />Depth Sample Identification Date Time 0 Remarks <br />- t"..--c_ ,1— -h/i2 C cc,___y: <br />r <br />V <br />Please forward the lab <br />results directly to the <br />Lead Consultant and <br />cc: 0-R. <br />i <br />.... <br />L-4 5 ifi -JD t <br />T 04Jf <br />, i 4 <br />, I <br />k ...1----ha61_24 1 c":1_0_ • <br />q p-, .J. -42N 1020 , <br />I <br />I al CA_, _c4ocizci-fi-In 7 4, 1 -, • —. Turnaround Time Re4uested (TAT) (please circle) <br /> <br />.. - --• -- <br /> <br />Sgthdard 5 day 4 day <br />Relinquished by , , <br />C:d.V-- <br />Date Time <br />..,- <br />—,---/...= <br />Received by Date Time <br />\-- ---- <br />-72 hour 48 hour 24 hour <br />Reli utshed D(ate Time Received by i Date Tlme <br />Data Package (circle if required) h LIP I bin,/ <br />Type I - Full Type VI (Raw Data) <br />Relinquished by Date Time Received by Date Time <br />Relinquished by Commercial Cartier: Received by Date Time <br />EDD (circle if required) UPS FedEx Other <br />EDFFLAT (default) Other: <br />Temperature Upon Receipt °C Custody Seals Intact? Yes No _ <br />Eurofins Lancaster Laboratories Environmental, LLC • 2425 New Holland Pike, Lancaster, PA 17601 • 717-656-2300 <br />Trio whita rnrm chnellri arrnmnorm c..rnnisac tfl c,,,-,-ju,,- I •-1.-••-•,,enr I - -I . •L -
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