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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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EHD - Public
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Chevron <br /> i Analysis • <br /> i <br /> Lancaster Laboratories _ For ?�c] r Laboratories use only r� <br /> Where qua!rryis a science. <br /> Acct#: Sample#: �/�-/`,t SCR#: <br /> Analyses Requested <br /> Facility#: t 00 t b 2,t Ca l 060-A gg b 95 7-1 mtib cAVS 4 Preservation Codes Preservative Codes <br /> Site Address: 12- H=HCI T=Thiosuifate <br /> Sr 5lY Soy..fit. Iua,,AN,m 11a�c r ' C-4CL <br /> N=HNO3 B=NaOH <br /> Chevron PM: Z Qo cGech+-o,.,.^ Lead Consultant: S-e-Lc-e- S=H2SO4 O=Other <br /> ❑ <br /> G <br /> 9�' D J value reporting needed <br /> Consultant1Office:S�,' 3o 1-t lc_��o,,..� �„� g, i eo d,,a y _ <br /> W N 17 Q <br /> Consultant Pry.Mgr.: loc-� �A t`vo.,� o D Must meet lowest detection limits <br /> U ❑ possible for 8260 compounds <br /> Consultant Phone#:�i SQ �e l-py o� T Fax#:�Fi i e) ?%4n.1 _ 0�3 0 o N EC aW 8021 MTBE Confirmation <br /> Sampler: ''C. v �.i� o co o D Confirm highest hit by 8260 <br /> Service Order#: El Non SAR: �' .Z � D Confirm all hits by 8260 <br /> •^ + <br /> Field Repeat Top. Time New v D Run+ oxy s on highest hit <br /> m o c <br /> Pointam M ix Sam le De th Year M n h D I ed Field Pt. t9 v I- m D Run_oxy s on all hits <br /> rnl.a- 5 Q 5 �j' 1 .30 -�( , ( X K <br /> N Comments/Remarks <br /> 9 <br /> co S b t3.5 Zoon t i t� 1 zyo it ) X <br /> IS.S' 2Ao A I L%I-- 12 u , �( x <br /> 1—t.S, x 7 n x <br /> - tcSD 20' zM 1L 1 t K ?� T$p, <br /> 'CA <br /> 3' 2---p o IL .t ) X k X QI 1?� <br /> XI <br /> �- - a.00y r�13 13Lo 3c t X :�c <br /> rv� -tom 2.S' Z�o�l i1 t 1310 h K K X X 4 Z- ac.A <br /> 1 -A X X ?c t306 <br /> AML, -6155 2-IN (y QT X, X <br /> Relinquished by... Date Time eceived by: Date Time <br /> Turnaround Time Requested(TAT)(please circle) 124 y e� <br /> 72 hour 48 hour Relinquished Date Time Received by: Date Time <br /> 24 hour 4 day 5 day <br /> Data Package Options(please circle if required) Relinquished by: a Time Received by Time <br /> QC Summary Type I-Full <br /> Type VI(Raw Data) E]Coelt Deliverable not needed Relinquished ercial Carrier Vegeived by: Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Xb <br /> Disk Temperature Upon Receipt •6 C° Custody Seals act? Yes 10eV <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO Box 12425,Lancaster,PA 176055-2425 717 656-2300 3460.Rev. 10/04/01 <br /> Copies:White and yellow should accompany sampCes ttp Can aster Laboratories. The pink copy should be retained by the client. <br />
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