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ARCHIVED REPORTS_XR0004551
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004551
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Entry Properties
Last modified
3/10/2020 10:25:14 PM
Creation date
3/10/2020 11:29:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004551
RECORD_ID
PR0545484
PE
3528
FACILITY_ID
FA0003714
FACILITY_NAME
LACHHAR CHEVRON*
STREET_NUMBER
334
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26115041
CURRENT_STATUS
02
SITE_LOCATION
334 E MAIN ST
P_LOCATION
05
P_DISTRICT
005
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 /> ea�� ooSomp Lao �� NT only <br /> ` Act # SCR#La <br /> Analyses Requested `-t 91 h <br /> Facility# SS#9-1452 G-R#386582 Global INT0607700554 Matrix Preservat€an Codes Preservative Codes <br /> H=HCl T=Thiosuifate <br /> Site Address 334 EASY MAIN STREET, RIPON, CA g N=HNO3 B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH ILI S=H2SO4 O=Other <br /> Consultant/Office G-R, Inc, 5747 Sierra Court, Suite J, Dublin, Ca 94568 m 8 S ❑J value fgxx"needed <br /> Deanna L Hardin i a ©Must most lowest dekKftn I mb <br /> Consultant Pq Mgr 9 (dsartna�9rinc corn) ❑ possible for 8260 compounds <br /> Consultant Ph on # El <br /> Fax# o 8021 MTBE Continn om <br /> Sampler i ro © ©Confirm highest hit by 8260 <br /> Service Order# Non SAR .0 E = O Confirm dhits by 8260 <br /> Z ❑Run,oxy s on highest hit <br /> Date Tmole Identification Collected Colliected me 0 � _� 3 Oz <br /> � � � � O Run�TI <br /> s on 89 has <br /> 11114'63 - X I X Z11 ANA Comments 1 Remarks <br /> w- f 11 iia D aG )KI X1 11 <br /> s t- <br /> -A 6k <br /> LC9� 15- t5- d 49 <br /> I{t I 4A to-so <br /> t+V tt jrr o3 Misr <br /> 11rti o3 114 <br /> Mw � <br /> 11111/0-3 11 }( n I X <br /> w "' 11 {{ a Iota <br /> i11 l 1 O Q <br /> z <br /> Time Requested(TAT)(please circle) Rel n;te) DiftTime to <br /> TD T 72 hour 48 hour Time ivad <br /> 24 our 4 day 5 day nwme <br /> Data bff—V DO Time <br /> Package Options(please drds If required) t;teiinqulahed by ate Time Received by Tune <br /> QC Summary Type I--Full 1 /Is, <br /> Type VI(Raw Data) ❑Cosit Deirverabie not needed Relinquished by Commercial Received yvil Date Time <br /> WIP(RWQCB) UPS FedEx 7:ran j L <br /> Disk 11 Temperature Upon Recelpt C4 , 5 C° Custody S&4 Intact? Y Na <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605-2425 (717)656.2300 3460 Rev 7130101 <br /> Copies White and yellow should accompany samples to Lancaster Laborstoriss The pink copy should be ret0ned by the client <br /> - a { t <br />
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