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ARCHIVED REPORTS XR0001346
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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2908
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3500 - Local Oversight Program
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PR0544111
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ARCHIVED REPORTS XR0001346
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Entry Properties
Last modified
2/7/2019 3:33:06 PM
Creation date
2/7/2019 2:43:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001346
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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ep 4F <br /> I� <br /> Acct.# Sample# SCR0 <br /> WherequaVsasoence II <br /> Il Analyses Requested <br /> Il <br /> Facility# 9925 �0 Gt��0 07-�`� _ II 1 li Preservation Codes Preservative Codes <br /> It H=HCI T=Thiosuffate <br /> SlteAddress 'AOS &Jn(Qhntn ti9t St&&b �C�4�_ I N=HNO3 B=NaOH <br /> Chevron PM R.��.. Lead Consultant: SM�- � S=H2SO4 O=Other <br /> C1c ❑ yQ J value reporting needed <br /> Consultant(Office 31Dn i111t Fs rP_ C oj"&C � o kgm�_ 0 Must meet lowest detection limits <br /> $ I C=* possible for 8260 compounds <br /> Consultant Pit Mgr - ° <br /> l <br /> �j v o D oo ❑ <br /> Consultant Phone IP °{I 8 01-0q OD Fax# ��t 1p.F M� _ 0 6023 MTBE Confirmation <br /> — � N <br /> m D Confirm highest hit by 8260 <br /> Sampler E m 8 ' ❑ ❑Confirm all hits by 8260 <br /> imn Ln <br /> Service Order* ❑Non SAR � C Z + � $ � � � []Run_oxy's on highest hit <br /> Field Repeat Top Time New E X ❑Run—oxy's on all hits <br /> Point Name Mon oll l=ie! <br /> —gyp k3 �1 )1 t95 X Commer>fs!Remarks <br /> XVI-1104-41-11601 <br /> 1-4440 <br /> 14!1(2 <br /> X it <br /> OUp ) X i 11 X 9 atV+ano1 <br /> II ; II E 3,0), bt^ <br /> MN <br /> II 1 <br /> Nt I <br /> Reli byTime by )Y1111 '��tv�6lo Date Time <br /> VouZnd Time Requested(TAT)(please arde) �) '9t RAO 72 hour 48 hour Relinqu ID` Time Received by- Date Time <br /> r 4 day 5 day i } <br /> Relinquished byII J` Date Tirne Recerved by- Time <br /> Data Package Options(please circle if required) i[ <br /> QC Summary Type I–Fug Relinquished by Commercial Camer �l Received by, Date Ttme <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed DPS E Other <br /> WIP(RWOCB) <br /> Disk Temperature Upon Receipt ' 111,C° j Cu y Se act? es No <br /> II 11 3460 Rev 10AX101 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO lox 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies White and yellow should accompany samples to LanLabboratones 3 The pink copy should be retained by the client <br />
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