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ARCHIVED REPORTS XR0000397
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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ARCHIVED REPORTS XR0000397
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Entry Properties
Last modified
2/7/2019 9:56:17 AM
Creation date
2/7/2019 8:54:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000397
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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-on r-,Plifnrri;� <br /> R <br /> Lxas#er Ugab es _ For La tvu Only yi a <br /> W1�wecfyi3asdenae `# . � Sample#: t - $ SC R* <br /> d.. Analyses Requested <br /> Facility#: _ Preservation Codes Preservative Codes <br /> �cs�a.\ 'ice T 01"14 0 �57 i�cwrvr.g-4 ZrIS <br /> a`^t- H=HCI T=Tmiosulfate <br /> Site Address: a a 5 o N=MNO, B=NaOH <br /> Chevron PM: Vyk - nQ�nc�_�*_Lead Consultant: SECo o S=H2SO4 O=Other <br /> U <br /> ComItant/Office: 3a 1 . �.�;�� � Gi�!.An 10e C Ce�rdava © p J value reporting needed <br /> a . $ ❑Must meet lowest detection limits <br /> Consultant Prj• Mgr.: n o to possible for 8260 compounds <br /> Consultant Phone#: tN s[Aot• cA Fax#: t t -qy 30 o aQc .❑ _ 8021 MTBE Confirmation <br /> Sartt ler �VAndr L���1LQ1 1 <br /> p � o � � . � [3 Confirm highest hit by 8260 <br /> Service Order#-. � o ❑Confirm all hit$by 8260 <br /> i ❑Non SAR: � x �,. �, �, <br /> j <br /> Field ti 0 Run�"oxy s on highest hit <br /> Repeat Top. Time New � W <br /> i 1 Na atrix le . M th a I Fd ld Pt. U F co O Run_oxy's on all his <br /> 03 0 �bSl Comments!Remarks <br /> 125 <br /> it `'r�c:.� <br /> Irl 3 ma`s @' c.csr.c�oav, <br /> . X KI <br /> SUN- <br /> MW-9 Xg <br /> IV <br /> by: <br /> Turnaround Time Requested(TAT)(please circle) Relinquished by: Date Time Data Time <br /> STD_TA 72 hour 49 hour Relinquished by: Date Time Received by: Date Time <br /> 24 hour 4 day 5 day 3 f a <br /> Data Package Options(please circle if required) Relinquished by: Date Time Received by: Date Time <br /> QC Summary Type I-Full <br /> Relinquished b Commercial Carrier. <br /> Type VI(Raw Data) p Coedt Deliverable not needed n9 y Received by: Date -time <br /> WIP(RWQCB) UPS FedEx Qther " <br /> Disk <br /> Temperature tlpdn Receipt V Custody a es No <br /> Lancaster Laboratories,Inc 2425 New Holland Pace,PO I ox 12425,Lancaster,PA 17605-2425 (71'7)6W 23 <br /> 00 3460 Rev. 10/04/09 <br /> Copies:White and yellow should aocompany samples to Lancaster laboratories. The pink copy should be retained by the client. <br />
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