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ARCHIVED REPORTS_XR0002301
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_XR0002301
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Entry Properties
Last modified
1/23/2020 10:00:45 AM
Creation date
1/23/2020 9:38:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002301
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 Region Analysis <br /> * . <br /> G r e <br /> For La ste L q�rat TJes use only <br /> Lancaster Laboratories Acct # 1090"0 sample# �3�ly�[o-I� _SCR# <br /> Where qualV nascterxe <br /> Analyses Requested <br /> �S a L 6'3— a 0� <br /> Matrix Preservation Codes Preservative Codes <br /> Facility# 5S99-8632 G-R#3$6855 Globale ID#TO607700670 III <br /> H=HCl T=Thiosulfate <br /> Site Address 575 GRANT LINE ROAD, TRACY, CA N=HNO3 8=NaOH <br /> SECORRH S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultant °1 <br /> N ai c5 ❑J value reporting needed <br /> Consultant/Office G-R, Inc , 6747 Sierra Court, Suite J, Dublin, Ca 945fi8 3 o c ❑ c Q ❑Must meet lowest detection omits <br /> Deanna L Harding (deanna@gnnc com) a z E v° .� possible for also compounds <br /> Consultant Prt Mgr ❑❑ v ❑ e1 ❑ 9 <br /> 0 04 6021 MTBE Confirmation <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 o ❑Confirm highest hit by 8260 <br /> Sampler D �_ E W 0 W * Y <br /> m o o = _ ❑ ❑Confirm all hits b 8260 <br /> Service Order# ❑Non SAR ¢ Z "' m ❑Run_oxy s on highest hit <br /> Date Time m o c is 2 Cl o u� s = S04 ca ❑Run oxy s on all hits <br /> sample Identification Collected Collected U rn O ~ m <br /> X 19L X Comments 1 Remarks <br /> MW X x x X <br /> w- /433 X 7c � 21- <br /> G <br /> mi Ai - 3DS X 7t <br /> / _ -- — <br /> MLU X X � 1 <br /> Mw- s x IS I x x x. <br /> ? x7- X <br /> X �` x <br /> MW - - X X )C <br /> Rein u ed by Dale Time Received by Qjat4 Time <br /> Turnaround Time Requested(TAT)(please circle) <br /> TD T 72 hour 48 hour R nquish d by D t Time Received by Date Time <br /> 24 hour 4 day 5 day A3 Cb <br /> h wshe y D a Time Received by Date Time <br /> Data Package Options(please circle if required) 1511161513D INAAD C- 51163 <br /> QC Summary Type I—Full Relinquished by Commercial Carney V Receiv Date Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt Z S" Co Custody Seals Intact? es No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425 Lancaster PA 17605-2425 (717)656-2300 Rev 7/30/01 <br /> Copies White and yellow should accompany samples to LancaWboratones The pink copy should be retained by the client <br />
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