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ARCHIVED REPORTS_XR0006370
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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6633
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006370
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Entry Properties
Last modified
4/7/2020 1:07:24 PM
Creation date
4/3/2020 4:44:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006370
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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t to # r5R 69 <br /> for Lan ter use fly <br /> �0 cArieS 6 y 44'� Amt # 0 sample 41 0 L scR# <br /> +Larnster <br /> Wt►egrY+�� ��� Analyses Requested <br /> ly eA <br /> Preservation Codes Preservative Codes <br /> Facility# SS#9-5171 G-R#385121 Global I 060774Dp35 <br /> Matrix H=HCl T=Thlosulfate <br /> N=HNO3 B=NaOH <br /> Site Address 6633 PACIFIC AVE , STOCKTON, CA S=H2SO4 O=Other <br /> Chevron PM RC Lead Consultant Sf`CQRRH d p J value reporting needed <br /> m <br /> GR, Inc,8747 Sierra Court, Stsrte J, Dublin, Co. 94568 � ❑ � ❑Must meet lowest detection orris <br /> Consultant/OfEice a a-_ p possible for 8260 compounds <br /> Deanna i_ Harding (deannaftnmcom) <br /> Consultant Prj Mgr ❑❑ U ❑ 8021 MTBE Confirmation <br /> Consultant Phone# 925 551-75`,5 Fax# 925"x` :7899 ❑ & - ti J ❑Confirm highest hit by 8260 <br /> $ ❑Confirm all hits by 8260 <br /> Sampler _ <br /> ❑Non SAR ❑Run oxy s on highest hit <br /> Service Order# E ❑ [p� ❑Run,axy s on all hits <br /> Date Time T 0 m 1 <br /> mole Identification Collected Collected Comments I Remarks <br /> I <br /> ReIjngWW4 by, Date Time Received by <br /> Dite Time <br /> Turnaround Time Requested RAT)(please circle) / Q <br /> 4!=> 72 hour 48 hour Relinquished by, Time ed by Dat Time <br /> � 16 12 <br /> 24 hour 4 day 5 day <br /> unshed �Dat�oTime R rved Date Time <br /> Data Package Options(please circle d required} `i' 7��� <br /> QC Summary Type I—Full Relinquished by ItzCommercial Carver ReCe /}Elate.� 1FYI <br /> Type VI(Raw Data) ❑Coen Deliverable not needed UPS FedEx <br /> le; <br /> WIP(RWQCB) Receipt a custody Se s ntoCt Yes No <br /> Disk Temperature Upon <br /> 3450 Rev 7130101 <br /> Lancaster Laboratories,Inc,2425 New holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)656-2300 <br /> Copies White and yellow should accompany samples to Lancaster Laboratories The pink copy should be retained by the client <br />
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