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Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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541
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2900 - Site Mitigation Program
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PR0522645
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COMPLIANCE INFO
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Entry Properties
Last modified
2/18/2020 6:24:15 PM
Creation date
2/18/2020 4:02:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522645
PE
2960
FACILITY_ID
FA0015432
FACILITY_NAME
CHEVRON PIPELINE (MP 940)
STREET_NUMBER
541
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21449004
CURRENT_STATUS
01
SITE_LOCATION
541 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
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EHD - Public
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wan== <br /> Lancaster Laboratories .. • • • <br /> For ries use only <br /> Where qualltyisasc'ence. <br /> AW.0- 10 sample#: Co�-70 SCR#:1701070 <br /> Analyses Requested <br /> Facility# C p r or. 30-2 Cl 2 Ci, ran i'p Y l— Preservation Codes <br /> Preservative Codes <br /> Site Address: 641 Weak ,�..,� 1,.,. ���, T� sr CA H=HCl T=Thiosulfate <br /> M. <br /> Chevron PM:_�e�, �� ,�,� Lead Consultant: N=HNO3 B=NaOH <br /> _5 irCp(L � � S=H2SO4 O=Other <br /> Consultant/Office: ECo4L K, ,z �cho Co40va C_* c ❑ c� <br /> ❑J value reporting needed <br /> Consultant Pd. Mgr.: o 2 Q❑ Must meet lowest detection limits <br /> Consultant Phone#: U ❑ possible for 826o compounds <br /> 916 'ZiIA 0400 Fax#: `�I� �6b\ p�'�j o ❑ p <br /> 8021 MTBE Confirmation <br /> Sampler. S ear. Co R' <br /> o <br /> ❑Confirm highest hit by 8260 <br /> Service Order#: 0 <br /> Field ©Non SAR: 0 Z _ ❑Confirm all hits by 8260 <br /> RepeatCL <br /> Top Time New m E ❑Run_oxy's on highest hit <br /> Point Name_ Matrix Samlolee th Year Month D I I Pt c9 v t-o I �-- �� ❑Run_oxy s on an hits <br /> Wat+� — — 04 e6 zt to ca:zo X <br /> 1 -C* o�Cf — D ob _ Comments/Remarks <br /> 4 z, zX X X <br /> -3- G r - 04106/2-1 "- <br /> :30 X <br /> Turnaround TiRelinqui ed buested RA (please arcie) Date Time Received by <br /> Date Time <br /> TD.T 72 hour 48 hour <br /> our Relinquished b <br /> 4 day 5 day y uu <br /> W la <br /> ate Time Received by Da a Time <br /> Data Package Options (please circie if required) Relinquished by: Date ime Received by: <br /> ry Type I-Full Time <br /> QC Summa Date me <br /> Type VI(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Carrier. <br /> by: Date <br /> � <br /> WIP(RWQCB) UPSFedE Other <br /> Disk Temperature Upon Receipt i C <br /> Cust als Intact? Yes No <br /> _ Lancaster Laborat�Ujn.G,2425�t Holland Rike,PO Box 12426;keneeMer�pll 17 <br /> owhite and yellow should accompany Samples to Lancaster Laboratories. The pink copy should be retained by the client. <br />
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