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ARCHIVED REPORTS XR0000771
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 XR0000771
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Last modified
2/15/2019 5:26:59 PM
Creation date
2/15/2019 2:09:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000771
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
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EHD - Public
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_ w _ •I � � 7 r �1 `� , J r �- r L + ! LJ 1 �. � -�+ J L.J r <br /> Labw1«.7For Lmeastar Laborabmbs use only <br /> Wf>t?regt�tytsas�erxe �� —4/J� <br /> Acs.�w ��0 Sample tE 40 4.t 0 l P- 45 . P&/3 76 <br /> Analyses Requested <br /> Facility# SS#9-5775 G-R#1386408 Global bj=607fows Matrix Preservation Codes Preservative codes <br /> Sde Address 301 WEST KEfTLEMAN LN., LODI,CA H=HCI T=Thiosulfate <br /> N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH S=H2SO4 O=Other <br /> L <br /> ConsuConsultant/OfficeGR, Inc, 6747 Sierra Court, StjEte J, Dublin, 94, LU ❑J value reporting needed <br /> Deanna L Harding deanna Must meet lowest detection 4m,ts <br /> Consultant PI Mgr 9 ( ��tnc.rrom) a z � � v, possible for 8250 compounds <br /> Consultant Phone# 925`551-7555110 a�f Fax#- 925-551-Mg m 8021 MTBE Confirmation <br /> Sampler_ t� i+CJCR m ❑ M fl o ❑Confirm highest hit by 8260 <br /> Service Order# ❑Non SAR a d Confirm ap hits by 8260 <br /> Date Time o ❑ ?� " ❑Run_oxy s on Ughest hit <br /> Sam fe identiticatl n Collected Collected m 3 o i°— m ❑Run , oxy s on all tars <br /> r7 k>rl Comments I Remarks <br /> X73 s <br /> Mk/— q IY3 a <br /> &r- ► <br /> w- r.5 jzto <br /> i <br /> W� O <br /> x 9b <br /> 9w- <br /> - o ��1 C <br /> 06- <br /> 71 <br /> T Requested(TAT)(please arste) R to DDateate Ti <br /> 72 hour 48 hour 11 u <br /> 24 hour 4 day 5 day pato THmv� Received by Date Time <br /> a .� �S <br /> Data PaCM90 Options(please circle H mWired) Re"ulshed by Time R mad by D to Time <br /> T05►Pe VI(Rawl r?� � Coetr Deliverable � Y Commeraa� ,t s, �/ �d <br /> © e not needed Rel fished b fieoeived <br /> rem <br /> WIP(RWpCB) UPS FedEx <br /> Other ^ <br /> Disk Temperature Upon Receipt c° Got*Ns IRtrllct7 � NoLancaster Laboratories.enc Law <br /> aster.2425 New holland Pike,PO%x 12425,Laaster,PA 17w&2425 (717)656-2300 3460 Rev 7130/01 <br /> Copies Whim and yellow should aocpmpeny samples to Lancaster Laboradorles The Pink copy should be retained by the cue"L <br /> I <br /> I <br />
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