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ARCHIVED REPORTS_XR0002297
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0002297
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Entry Properties
Last modified
1/23/2020 10:09:36 AM
Creation date
1/23/2020 9:34:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002297
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
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SJGOV\sballwahn
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EHD - Public
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Chevron California Region ■ <br /> equestlChain of Custody <br /> i t <br /> j Lancaster Labor&ries r} ry� For Lancaster Laborat"s use only <br /> Samp+�uhe►egc�rryuesaerac� p Acct # — le# 1:444 W- - V1 WRft kC q l K, <br /> Yz l3 <br /> Analyses Requested <br /> I <br /> Facility# SS#9-8632 G-R#386855 iGlobal INT0607700670 Matrix Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address575 GRANT LINE ROAD, TRACY, CA 'S=1-1 <br /> 2SO4 O=NaOH <br /> OtherN=lB= <br /> Chevron PM-RC Lead ConsultantSECORRH <br /> 124 <br /> Consultant/Office G-R, Inc, 6747 Sierra Court, Suite J, Dublin, Ca 94368 a o ❑ ❑J value reporting needed <br /> Deanna L Hardin a N $ cb ❑Must most lowest defection limb <br /> Consultant Prj Mgr 9 t deanna�gnnC.cam) Z c of CA possible for 8260 compounds <br /> j Consultant Ph #925-551-755 Fax# -7 99 ❑❑ m W � J 8021 MTBE Confirmation <br /> Sampler �- ❑Confirm highest hit by 8260 <br /> Service Order# E]Non SAR �, L a z R p Corsflm,d nits by 8260 <br /> Run_._._oxy s on highest hit <br /> Date Time LO E to © LL <br /> ;q- © <br /> Sample Identlftcatf Collected Collected 0 � 83 O � � � � � � f ❑Run`oxy s on all hits <br /> 7D< 1 411 1 1 Comments 1 Remarks <br /> L]l <br /> V - S <br /> hil W-3 1 Ws <br /> ML)-q IfO S <br /> I � 1 <br /> ~ V V <br /> I <br /> ,0 S <br /> .1 <br /> Relinquished Date Time Received by Time <br /> Turnaround Time Requested(TAT)(please circle) � fk' � <br /> TD TAT 72 Hour 48 Hour Relinquished by ateTime R ed Tlrrie <br /> 24 hour 4 day 5 day i 1 Z <br /> Je <br /> Data Package Options(please circle if required) uished Oa -Time R td TI"Summary Type i—Full ��f <br /> jj Ir <br /> Type VI(Raw Data) ❑Coen Deliverable not needed Relinquashed t mesal CarriertV <br /> R b� 7 _ <br /> WiP(RWOCB) yf <br /> Disk Temperature Upon Receipt C. Custw Seals In Y No <br /> i' <br /> uLancaster Laboratories,Inc,2425 New Holland Pike,PO$ox 12425,Lancaster,PA 17605.2425 (717)656-2300 .-- _ 3460 Rev -, <br /> Co es end yellow should accompany samples to latori <br /> boraes The pink copy should be retained by the client <br /> I • <br />
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