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ARCHIVED REPORTS XR0000770
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000770
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Entry Properties
Last modified
2/15/2019 4:56:54 PM
Creation date
2/15/2019 2:08:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000770
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Chevron California .' <br /> • • • • • i RequestlChainof • <br /> Larxaswqlwies For Lancasbr Laboratories use only <br /> 1M�ereyua6tysas ,4oc4 # °f sample#�bj d 2 — 2 tom__ SCR# &��lJ <br /> Analyses Requassed43 r 014 1 <br /> FaaTmr#----a-57;F-157 Matrix Pro"rvatlen Codes Preservative Codes <br /> H=HCl T=Thiosubts <br /> Site Address--Ap! <br /> N=HNO3 B=NaOH <br /> Chevron PM gWb <._e�- .rat. Lead ConsultantyP S=H2SO4 O=Other <br /> ConsuitantfOffice' ?, 2 f{!. .p.r S�: ! a„o�;o z w 13 vah,a,epating needed <br /> Consultant Pd.Mgr `V Cxd-t �' 0 Mum meet lowest datntio rub <br /> k <br /> O�, poe for 8250 compounds <br /> Cons% t�lnt Phone ff / -' -� L 9 Fax# cel ©❑ a 13 8021 MTBE Confimre6an <br /> Sampler �"f2�e d ❑ ©Confirm highest hit by 8260 <br /> Service Order#- ❑Nan SAR a z T R pcorMrm air rrte by ease <br /> p Run_nay s on highest hit <br /> Sant Identtflcatlon Collect CollDate mected Q O 1- 0 Run„ary a on all frtb <br /> 1+ la IX IX Comment's I Remdo <br /> t/= X <br /> IF- <br /> I <br /> Tumaround Time Requested(TAT)(please circle) Time Recelved by Date T <br /> MTAT ) 72 hour 48 hour Tknel Received by TOT*4 day 5 dry <br /> Da a Package Options(please eircie I required) � Received tete Time <br /> ry Type I—Full ' <br /> Type Vi(Raw Data) OCoelt Deliverable not needed Relinquishedemal Carrier Received by <br /> YViP(Rw(3G6) LIPS 4 ?,Lqi ed other r{r U3 1/0 <br /> Disk Tenmralure Upon ReceiptC. Custody Seals lntKV Yes No <br /> Lancaster Laboratories,Inc.,2425 New Hdiand Pike,PO Box 12425,Lancaster.PA 17605.2425 (717)656.2300 3460 Rev 7130101 <br /> Copies:White and yellow should soomoW samples to Lancaster Laboratories. The perk copy should be retained by the diem. <br />
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