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ARCHIVED REPORTS_XR0004562
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545484
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ARCHIVED REPORTS_XR0004562
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Entry Properties
Last modified
3/10/2020 11:28:37 PM
Creation date
3/10/2020 11:35:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004562
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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evran-luanromia megionAnoysis " ' i � - i • f • • � <br /> Lancaster Laboratories l`�7,���-Q 7-,� Q� t ,, For Lancaster Laboratorles use only <br /> Where wa!rtyis asdence. ' 4 Acct.#1•: U o4ampie#:�� 7 7 70 r 8--JU . SCR* <br /> t , <br /> Analyses Requested <br /> [1 9-1452 Job#386870 Global ID#T0607700554 Matrix Preservation Codes Preservative Codes <br /> 'H=HCI ' T=Thiosulfate <br /> Site AddreaV4 EAST MAIN ST., RIPON, CA N=HNO3 B=NaOH <br /> Chevron PoOhert Cochran . Lead Coiisultant Seoor S=H2SO4 O=other <br /> 4 ai ❑3 value reporting needed <br /> Consultant/Office? -R, Inc., 6747 Sierra Cou!t Dublin, Ca 94568 _ 1 o Fu � r� ❑Must meet lowest detection limits <br /> F o a :° <br /> Consultant P6.Manna L. Hafdinp (Deanna(ftlrinc.coRlL 0 possible for 8260 compounds <br /> I Consultant P777 <br /> 5-551-7555 T Fax#925-551-7899 o g 8021 MTBE Confirmation <br /> Sampler: /1 �/� ❑ m � =' CNI ©Confirm highest hit by 8260 <br /> f y q E w 2 2 iv ❑ 1 ❑Confirm all hits by 8260 <br /> Service Order#: ❑Non SAR: z _ CD <br /> a :> B- ❑ ; $ � p ti ' ❑Run=oxy s on highest hit <br /> Date Time C o to — o ' x� I ❑Run oxy s on all hits <br /> Sample Identification Collected Collected 0 v cn 3: 10 <br /> 19Comments I Remarks <br /> MW- NO r <br /> 1 (0 4.. <br /> MW-3U 0635- <br /> W- �S <br /> c)-749 X <br /> MW 6 D6 <br /> Mkr br <br /> ` y <br /> Rei' fished by, Date Time c ' +mC <br /> Turn me Requested (TAT)(please circle) ip` m <br /> TD.TAT 72 hour 48 hour ; Time ed by: Date Time <br /> VUA <br /> ,. <br /> 4 day 5 day "m rV W(14 <br /> l301 <br /> Z'z Z I <br /> R n uishe y: Dae Time R Ive by: Date Time <br /> Data Package Options(please circle If required) <br /> QC summary: Type I—Full <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished by Co ercla1 6r: Received by: Daub Time <br /> WIP(RWQCB) UPS FedEx Other 0 <br /> DiskTemperature Upon Receipt C. Custody Seats Intact? Yes No <br /> Lancaster Laboratories,Inc.,2425 New Holland Pike,P9?-'. <br /> 'c,12425,Lancaster,PA 17605-2425 (717)656-2300 t F 3460 Rev.7130101 r <br /> Copies:White and yellow should accompany samples to L.ancakaboratories. The pink copy should be retained by the client. <br />
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