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ARCHIVED REPORTS_CONCEPTUAL SITE MODEL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KASSON
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22888
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2900 - Site Mitigation Program
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PR0542464
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ARCHIVED REPORTS_CONCEPTUAL SITE MODEL
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Last modified
2/10/2020 7:44:17 PM
Creation date
2/10/2020 4:43:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
CONCEPTUAL SITE MODEL
RECORD_ID
PR0542464
PE
2960
FACILITY_ID
FA0024404
FACILITY_NAME
CHEVRON FUEL TERMINAL 1001621
STREET_NUMBER
22888
STREET_NAME
KASSON
STREET_TYPE
RD
City
BANTA
Zip
95304
APN
23906015, 16, 17
CURRENT_STATUS
01
SITE_LOCATION
22888 KASSON RD
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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rs rr �r r� r� r r �r a� :rr r �■a r rr -� rr rr <br /> Lancaster Laboratories 01 &0q p 8.Lai`J[�p Irat r1es u��y SCR#: O <br /> Acct.# Sam #: '-y '1 Q <br /> Wfiere quality is a science. <br /> Analyses Requested <br /> Facility#: \to Zl U10�0.\ m `11 m`VptSk'4 <br /> Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: ZZ 8 kq_ s d,,-x 'No ..yo,, c/4 a N=HNO3 B=NaOH <br /> Chevron PM: Lead Consultant: SC-C O(LU <br /> S=H2SO4 O=Other <br /> fi c L,o ❑ ❑J value reporting needed <br /> Consultant/Office: S\c,L_ .�,� <br /> ❑Must meet lowest detection limits <br /> Consultant Pd. Mgr.: Do v*\d U possible for 8260 compounds <br /> Consultant Phone#: 51 b $to( ,0,-1 a0 Fax#: ton t - cy R o 8021 MTBE Confirmation <br /> N <br /> Sampler: is��� Y`c�hn t S m Confirm highest hit by 8260 <br /> ❑Confirm all hits by 8260 <br /> Service Order#: []Non SAR o z <br /> -0 , + $ $ w ❑Run_ oxy's on highest hit <br /> Field Repeat Top Time New E o x z = <br /> PointName Matri S m le De th Year Month Da Collected Feld Pt. (D U > a as ❑Run_oxy's on all hits <br /> mw - l0`1 V A \3, -2- -L { 32 S E K Comments/Remarks <br /> 4 L <br /> ci V S ►b.S 2-0cm 13 0� x x x d C <br /> 8A <br /> DAM C. <br /> t�E <br /> i <br /> \�2 _DLA <br /> � DB <br /> , <br /> Relinquished by: Date Tips oeived by: Date Time <br /> Tu ound Time Requested(TAT)(please circle) 'oo _t b/ <br /> TjD_� 72 hour 48 hour Relinquis d3Sy: Date Time Received Date Time <br /> 24 hour 4 day 5 day <br /> Date Time <br /> Data Package Options(please circle if required) Received by: 4a Time <br /> OC Summary Type I-Full <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial C r: Received by: Date Time <br /> UPS FedEx Other jfL <br /> WIP(RWOCB) I _CXY l3(w 0/70 <br /> Disk Temperature Upon Receipt 0 C° Cu tody Seals Inta ? Yes No <br /> Lancaster Laboro,tories,Inc.,2425 New Holland Pike.PO Box 12425,Lancaster,PA 17605-2425 (717)556-2300 3460 Rev.10/04/01 <br /> Copies:White and yellovirshduld accompany s6mples to Lancaster Laboratories. The pink copy stiould'be retained by the client. <br />
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