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ARCHIVED REPORTS_XR0005548
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25651
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2900 - Site Mitigation Program
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PR0504875
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ARCHIVED REPORTS_XR0005548
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Entry Properties
Last modified
11/19/2024 1:50:28 PM
Creation date
3/30/2020 2:18:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005548
RECORD_ID
PR0504875
PE
2951
FACILITY_ID
FA0006377
FACILITY_NAME
CHEVRON PRODUCTS CO (INACT)
STREET_NUMBER
25651
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514120
CURRENT_STATUS
02
SITE_LOCATION
25651 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Chevron California Region A� nalysis RequestlChain of Custody <br /> I �} <br /> Lancaster Laboratories For Lan s =rlr <br /> SCR# <br /> only <br /> Acct # Sample#A _ <br /> AVt'_qu4tytsasaexe_ i <br /> o 3 a L r o Anatyses Requested <br /> Facility#_SSi9-2396 GR#386 Globsi ID>1eT060T100639 Marx Preservation Codes Preservative Codes <br /> 14 141 H=HCI T W Thiosulfate <br /> Site AddreW6� HIGHWAY 99 NORTW ACAMPO, CAI a N=HNO3 B=NaOH <br /> S=H2SO4 O=Other <br /> Chevron PW Lead Consuitai ECORBS <br /> El J value reporting needed <br /> R, Inc,6747 Stena Court, Suite J, Dublin,Ce 94568 c ❑ T <br /> Consultantlofr ❑Aust meet lowest detection limits <br /> Consultant Pry M <br /> nrta L Harding (deanne@gnnc.c6m) a Z passible for 8260 compounds <br /> V o 0 <] 8021 MTBE Confirmation <br /> Consuttant Phone92 i Fax o r A ❑Confirm highest hit by 8260 <br /> Sampler `j p j3 Codon all hits by 8260 <br /> # i ❑ � � � <br /> Seance Order# p Non SAR d z "' �' p Run t oxy s on highest hit <br /> Date I Time, Q O I [1 Run^oxy s on all hits <br /> Sam le Identification Collected i Collected U 1 <br /> -o� _ Comments l Remarks <br /> MW_r 1 ' 036 (10 WIXI <br /> j t <br /> i <br /> ( I <br /> , , f <br /> 7 <br /> t _ , <br /> Rall bl! ffhR Time we. Time <br /> Turnaround Time Requested(TAT)(please circle) OV / <br /> 72 tour 48 hour R ate Tune R by ,Date Time <br /> 24 hour 4 day 5 day f i <br /> ` ish Date ko <br /> Time Received AceTime <br /> Data Package Options(pie circle if requiI d) 3 !S3(3Ty `� <br /> Summary Type i—Full R , Txr , <br /> Type VI(Raw Data) ❑Coelt Deliverable not Relinquished by merdal pate needed LIPS FedEx011ier �r�yJ <br /> IMP(RWOCS) <br /> Disk i i Temperature Upon Receipt C° y,� Custody S 04 Intact? Yes -No <br /> Lancaster Laboratories.Inc.2425 New Holland Pike,PO Box 12425.Lancaster.PA 17605-2425 (717)656-2300 3460 Rev 7134101 <br /> rAoes White and yellow should accompany samples to Lancaster Latrotsddries 'It&pink copy should be retained by the clientA_ —A <br /> - <br /> i <br />
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