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ARCHIVED REPORTS_XR0005553
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_XR0005553
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Entry Properties
Last modified
11/19/2024 1:50:29 PM
Creation date
3/30/2020 2:22:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005553
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Chevron Califo Mlia Region Analysis RequestlChain of Custody <br /> +Lancaster �1 For Lan Leb090 <br /> forks usre�onIy <br /> Aod # 1 U� V�v Sample#� L /J I `7 SCR#I <br /> IMlemqualrtyaaso+ence ! c <br /> Analyses Requested <br /> SS#9-2396 G-R#3$6980 Global ID#T06077'00635 Matrix Preservation Codes PraservaT=Codes <br /> Facility# N=HCi T=Thlosulfate <br /> 25651 HIGHWAY 99 NORTH, ACAMPO,( A - a N=HNO3 9=NaOH <br /> Site Address SECORGM' 'S=H2SO4 O=Other <br /> Chevron PM RC LoadfConsubrit 1 <br /> G-R Inc , 6747 Sierra Court, Sults J, Dublin, Ca 94568 ❑ D J value reporting needed <br /> ConsultantlOffioe o. '0 Must meet lorrrest detection Smits <br /> Deanna L Harding (deanna f gnnc.cam) a z possible for 8260 compounds _ <br /> Consultant PI Mgt - <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 0 Q 138021 MTBE Canflnnatbn _ <br /> ���� ! , 0 Confirm highest hit by 8260 <br /> Sampler _Krl bn lell q ❑ ❑Cordinn all hds by 8280 <br /> L Z + Run oxy a on highest hit <br /> Service Order# []Non SAR � � � ❑ �+5 � � .9 13 <br /> � ❑ <br /> Date Time M3 O m Sd I ❑Run—axy s on all hNs <br /> Sample,Identifica on Coll ed Coil - <br /> f Commertts 1 Remarks <br /> 1 <br /> x 1 <br /> WI x <br /> Vj <br /> I <br /> 3 Y <br /> 1 <br /> 3 <br /> 1 _ <br /> I r I <br /> I <br /> Reli shed <br /> Py Tuna Received by Time <br /> - - Turnaround ThnwRequested(TAT)(please drde) — -- y 41 I - <br /> � 1 � - � e lime <br /> 72 hour 48 flour Relinquished by to Tim by <br /> 24 hour 4 day 5 day <br /> u e Time Received by _ Rate Time <br /> Data Package Options(please circle if required)l1530 b y <br /> 00 Summary Type I—Fun Relinquished by Commercial R Data Time <br /> Type VI(Flaw Data) ❑Coelt Deliverable not needed � <br /> UPS FedEx <br /> MP(RWOCB) <br /> Disk Temperature Upon Receipt LI, C. Custody Seats lntsct? Yes No <br /> Lancaster tabomtaries,hie.2425 New Holland Pike,PQ SAMU425.Lancaster,PA 17605-2425 (717)656-2300 3460 Rev 7=1 <br /> Copies White and yellow should accompany samples to Lanrstorles The pink copy should be retained by the client • <br />
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