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ARCHIVED REPORTS_XR0002293
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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ARCHIVED REPORTS_XR0002293
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Entry Properties
Last modified
1/23/2020 10:11:32 AM
Creation date
1/23/2020 9:31:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002293
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chevron California `%gion Analysis ' - • - • of • • <br /> �..�},�naCW For Lan �t Loboratarise use only <br /> Lancaster <br /> ���V�ere��Yrsa�a�er� Acct # O�a Sample# <br /> Ana"es Requested <br /> Feality# SSf9-8632-0ML G-R#1386855 Global INT0607700670 Matrix Preservation Codes Preservative Codes <br /> ft H=HCI T=Throsuffate <br /> Site Address-575 GRANT LINE ROAD, TRACY,CA N=HNO3 B=NaOH <br /> S=H2SO4 Q=Other <br /> Chevron PM DR Lead Consultant SECORBS <br /> G-R Inc, 5747 Sierra Court, Suite J, DO%%Co.94M w ❑ 8 � [1 d value reportlrx�needed <br /> Consultant/Of lice O4 ❑Must meet lowest detection limps <br /> Deanne L Harding (deatnna ftrinc corn) a z 0 05 <br /> Die possible for 8264 compounds <br /> Consultant Prj Mgr P� 13 r- <br /> Consultant Phone Al 925-551-7555 Fax# 925-551-7899 0 8 802t MT6B Confirmation <br /> Sampler _ ❑ -2 m X ❑Confirm highest hit by 8260 <br /> p �`�! 4 iK m E ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR � a z <br /> I - ❑ _ t $ $ g [I Run __oxy s on highest hit <br /> Date T' U r°n �r O m r D Run_oxy s on all hits <br /> Sample ldentification Collected Collected <br /> Comments!Remarks <br /> mw-a 3-3S <br /> NW-3 0 <br /> k)- o <br /> WA W- �T s X II- AKI AQ <br /> 1650 <br /> O <br /> 1 <br /> _XL by Date Time Received by Date Time <br /> Tu aund Time Requested(TAT)(please circle) t <br /> TD TA 72 lour 48 hour Relinquished by to Time Received by D to TtMe <br /> 24 hour 4 day 5 day ::Dl� - i b1of -- 1111,011'',111111 0 <br /> Data Package Options(please circle if required) <br /> Relinquished by Time Received by D Time <br /> CC Summa s <br /> ry Typal—Full ed by <br /> Type A(Raw Data) p Relinquishal Carrier Time <br /> Coelt Dellvembte not needed 13 <br /> WIP(RWDCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt f _I G04cpr Custody Seals lnW&1-( <br /> Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)6W2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />
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