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Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAMMER
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3355
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2900 - Site Mitigation Program
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PR0517530
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Entry Properties
Last modified
1/29/2020 5:07:06 PM
Creation date
1/29/2020 4:07:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0517530
PE
2950
FACILITY_ID
FA0013492
FACILITY_NAME
CHEVRON SERVICE STATION #208118
STREET_NUMBER
3355
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95202
APN
12618007
CURRENT_STATUS
01
SITE_LOCATION
3355 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Chevron Colifornio RegionAnolysisRequestlChoinof Custody <br /> +Iancaster Uord#Or[e5 For Lancaster Laboratories u e only <br /> �Y Kftm li &ascierce. Acct,#;_ d� Sample#: t`tv�? ! 3 _SCR#: <br /> � <br /> Analyses Requested <br /> Facility#: VMvriln Q6 12 Preservation Codes Preservative Codes <br /> 1 � H=HCI T�Thiosulfate <br /> Site Address: irC 1M,1 n_{!,�/, ,� a N=HNO3 B=NaOH <br /> . C S= H2SO4 O=Other <br /> Chevron PM: ZM0JO Lead Consultant: <br /> Cons ultant/Office:_., Q(�S.yl C • c ❑ c� ❑J value reporting needed <br /> nsultant Prj. Mgr.: � 1 0 � � Must meat lowest detection limits <br /> possible for 8260 compounds <br /> Consultant Phone( AD I-LAU Fax ���� o X ❑ 8021 MTBE Confirmation <br /> 0 o H <br /> Sampler: C w o o m " ❑Confirm highest hit by 8260 <br /> C co 0 Q C CD <br /> ❑ <br /> Service Order#: �+ � gEl Confirm all hits by 8260 <br /> ❑Non SAR: o Z E N � _ N <br /> Field Repeat Top Time New m E w _ E]Run oxy's on highest hit <br /> i m t ' I D h Y r M nt II ted Fi I Pt. 0 � m � a � I � ❑Run_oxy's on all hits <br /> — k S b 4-- S Comments/Remarks <br /> — <br /> mi •. <br /> UJO <br /> �5. <br /> Yin - 1 <br /> lied by: Date Time Received by: Date Time <br /> RTurund Time Requested(TAT}(please circle)72 hour 48 hour Reli uishe to Time Received by: ate Time <br /> 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: Date NN191, <br /> Received by: Date Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier: Receive Date Time <br /> WIP(RWQCS) UPS edEx Other nJ <br /> Dlsk Temperature n Rece' Co Custody Sea4Intact? Y s No <br /> _ 3460 Rev. 10/04/01 <br />
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