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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 Califomia • Analysis RequestlChainof 1 1 <br /> Lancaster Laboratories 14 For La�cpj bora ori }ass only 9 a <br /> Acct# Sample#: (-� J SCR#: <br /> Where qua!rty is ascience <br /> Analyses Requested <br /> Facility#: 1 4 cN t l0 L-k J� Preservation Codes Preservative Codes <br /> H=HCI T=Thiosulfate <br /> Site Address: Z2 8'k N=HNO3 B=NaOH <br /> S=H2SO4 0=Other <br /> Chevron PM:$ob �-.�L�.ro ,, Lead Consultant: ��ccrf 12 U o <br /> ' c ❑J value reporting needed <br /> Consultant/Office: � 3o 1'1 Y!k5cr �. [LA �tos c. h W p <br /> CJ'► �, _ ❑Must meet lowest detection limits <br /> 19 Consultant Prj.Mgr.: E�ov�d► GyS 0 <br /> possible for 8260 compounds <br /> ` U O 0 0 6021 MTBE Confirmation . <br /> Consultant Phone# ��'11. y\o(-oy ov Fax#: ``1 Ito) k -oV Za o N o <br /> ca . o � ❑Confirm highest hit by 8260 <br /> Sampler: v..� ,^ -- - E m _ ❑ <br /> ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: a Z. + o o ❑Run oxy's on highest hit <br /> Field Repeat Top Time New T o o w = � ❑Run oxy's on all hits <br /> Point Name MatrixSam le De th Year Month D Collected Field Pt, O U 1- m <br /> S S '. X IX 1C x e' Comments!Remarks <br /> —49L 141s, <br /> r 5►' z4a 14 4.� x X X <br /> -s 3` i lySNI JX x r,-,EbE <br /> (IDSS' �-�"1 i E X ' X X E t-8c <br /> S i3 .S' L t 3 151 S a< I X X �bA <br /> 'K Am 6 <br /> Qt Q.6 <br /> G�ho.rb\ <br /> �r2- b<fl <br /> •e D8 <br /> Date Tin <br /> Relinquished by: e <br /> Date Time Received by: <br /> Turnaround Time Requested{TAT)(please circle) PAI o k <br /> S D. AT 72 hour 48 hour Relinquished Date Time Received by: Date Time <br /> -24-h15Gr 4 day 5 day <br /> Relinquished by: Time Received by: ate Time <br /> Data Package Options(please circle if required) <br /> OC Summary Type I-Full Relinquishe martial Carrier: Re i ed by Dat <br /> �(q Time <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed UPS FedEx Other 1a k g <br /> WIP(RWQCB) p tz-16- <br /> Disk Temperature Up1! <br /> on Receipt �° C° Custody Seals I ? Yes o b� <br /> 3460 Rev. 10/04/01 <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,PO EW 12425,Lancaster,PA 17605-2425 (717)658.2300 - <br /> - - - Cdp%-9f VWMU-urf`d yellow should accompany' Lanea bOratones. Tile pink copy should be retained by the cl'renf. <br /> ..■� �� Its a■I>• lillllllll� liilllllil� I� r � � � � � � � �_.. <br />
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