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ARCHIVED REPORTS_XR0004218
Environmental Health - Public
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2409
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3500 - Local Oversight Program
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PR0505603
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ARCHIVED REPORTS_XR0004218
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Entry Properties
Last modified
3/9/2020 10:24:28 AM
Creation date
3/9/2020 8:30:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004218
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
Tags
EHD - Public
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i <br /> Chevron • • • a s ' - a • • a <br /> oratories For h e, � �, 3 <br /> +Larxaster LabAcct # Sample# SCR# <br /> Where gmdityis a science �l fz f <br /> Analyses Requested <br /> Facility# 141 <br /> SS#9258 G-R#386544 Global ID#T0607700720 Matrix Preservation Codes Preservative Codes <br /> H=HCl T=ThioseJlfats <br /> 2409 EAST MAIN a F STREET, STOCKTON, CA <br /> Site Address � N=HhiO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH <br /> 3=H2SO4 O=Other <br /> Inc, Terra Court, Suite , u tn, Am [I J value reporting needed <br /> Consultant/Officea o L ❑ ' ©Must meet lowest detection limb a Ing eanna nnc corn a. i $ possible for 8260 compounds <br /> o <br /> Consultant Pry Mgr ❑❑ 0 o ❑ <br /> 925-551-7555 925-551-7599 tu ❑ 8021 MTBE Confirmation <br /> Consultant Phone# Fax# ? °$c 4 - -A <br /> Sampler M41�K �1 � r E]Confirm highest hit by 8260 <br /> _ E of ❑ ❑Confirm all hits by 8260 <br /> Service Order# ❑Non SAR H ¢ z r r <br /> ❑ + $ n ❑Run _oxy s on highest hit <br /> Date <br /> Time 2 E o _ c ' g ❑Run_oxy s on all htta <br /> Sample identification Collected Coll O W. ; 0 €d <br /> Comments 1 Remarks <br /> PQ�ftSE— V0 <br /> w- <br /> NOT Ru" <br /> 'si3 f—: Tt+t+N o L'9 <br /> Relinquish by' Date Time Data T€me <br /> TuMaEoffld Time Requested(TAT)(please circle) - ��� <br /> ZTATD 72 hour 48 hour R ate Time Received by Time <br /> 4 day 5 day <br /> Dab Package Options(please circle If required) Relinquished by ate Time Received by to Time <br /> 201 <br /> ��OO Ari L <br /> QC Summary Type I—Full <br /> Type VI(Raw Data ❑Coelt Deliverable not needed Relinquished by Commercial Ca r Recely Date Time <br /> WIP(RWQCB) UPS FedEx Other <br /> Disk Temperature Upon Receipt Custody Seal es No <br /> Lancaster Laboratones,Inc,2425 Now Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)65&2300 3460 Rev 7130101 <br /> --- -� Copies White and yellow should tabaratarles-rw*k copy shdukl be relg W by MW6nt <br /> I <br />
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