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ARCHIVED REPORTS_XR0004217
Environmental Health - Public
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3500 - Local Oversight Program
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PR0505603
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ARCHIVED REPORTS_XR0004217
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Entry Properties
Last modified
3/9/2020 10:20:47 AM
Creation date
3/9/2020 8:30:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004217
RECORD_ID
PR0505603
PE
2950
FACILITY_ID
FA0006892
FACILITY_NAME
SHERMAN HINAMAN TRUST ET AL
STREET_NUMBER
2409
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15542001
CURRENT_STATUS
01
SITE_LOCATION
2409 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Chevron California Region Analysis RequestlChain of Custody <br /> +LakasterLabimtoHes <br /> f' ��-, ForL,a}V9,r to 0.useoniyz �] (�Where Yrsesaie�e. Acct#: C cb Sample M`T ild j � SCR#:—+��"1 <br /> i 0-1 3 O D LJ— 0b Analyses Requested <br /> Facility#: SS#211295 G-R#i386940 Global IDFTO609960278 Matrix Preservation Codes.. t Preservative Codes <br /> Site AddreA§8 EAST F STREET, OAKDALE,`CA ; H=HCI 7=Thiosulfate <br /> N=HNOS 8=NaOH <br /> ` <br /> CORRH S=H2SO4 O=Other <br /> Chevron PIS , <br /> . Lead Consultal _ ; <br /> �a-R, Inc:,6747 Sierna Court, Suite:�, Dublin,Co.94568 3 _ ❑ ❑J value reporting needed <br /> Consultant/Of o . o <br /> r x b q [I Must meet lowest detection limits <br /> Consultant Prj.MgP nna L. Harding (deanna f grinc.com) a z y possible for 6260 compounds' <br /> U ❑ <br /> Consultant Phone 925-551-7555 Fax#625-551-7$99 a o ix. ❑ -6021 MTBE Confirmation <br /> Sampler�ri.5T7ItGt .(,(.C1 y } ❑ [I Confirm highest hit by 8260 ' <br /> w ❑ { ❑Confirm all hits by 6260 <br /> Service Order#�" ''" -" ❑Non SAR: © z V V Rs [3 Run oxy s on highest hit <br /> > # Date Ti rte',; ap= <br /> Sample Identiflcatlon Collected Coll [7 U rps €d I ©Run_oxy s on all hits <br /> A U(1? �( Comments 1 Remarks <br /> t W 4 ax X <br /> IN <br /> 3 4 <br /> Roti b [ <br /> late; Time R to Time <br /> Turnaround Time Requested(TAT)(please circle)72hour 46 hour1 R Time ived, to Time <br /> 24 hour ' 4 day i 5 day , (Data Package Options(please circle It required) shed Time Received# :"t - w _ Date Time <br /> QC SummaryType IF—Full r <br /> I53a U �- 13 <br /> Type VII-(Raw Data) [ICoelt Deliverable not needed Relinquished by Commercial Recefv at Time' <br /> W!P(RWQCB} LOPS ;z FedEx' <br /> Disk i + s S Temperature upon Receipt. C° •S Custody Sea tact?. Yes Na /I r <br /> K , <br /> Lancaster Laboratories,inc.,2425.14ev►i Holland Pike!'PO Box 12425,Lancaster,PA 17605-2425 {717}858-2300 r 3460 Rev.7131}lOi: F <br /> Copies:Whille and yellow should m to Lancester LLaboratbdes. The pink copy should be retalrlttd by M MeMH,"A21 <br /> _ - <br /> , .. <br />
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