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ARCHIVED REPORTS_XR0007319
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3775
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3500 - Local Oversight Program
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PR0545738
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ARCHIVED REPORTS_XR0007319
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Entry Properties
Last modified
6/8/2020 12:11:44 PM
Creation date
6/8/2020 11:47:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007319
RECORD_ID
PR0545738
PE
3528
FACILITY_ID
FA0003715
FACILITY_NAME
Tracy Blvd Chevron
STREET_NUMBER
3775
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
3775 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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rnla"--"�.. ion Analysis RequestlChain of ("istody <br /> Chevron Califo <br /> For Lancaster Latwratorfasp1 only �f <br /> +LarKasterWmb* Acct 0 Sample# ,14 Q sa 1-1 o sew <br /> wherequa�ty6amer:ce <br /> Analyses Requested <br /> Facility# SS#9-8264 G-R#386854 Global lD#r0607700627 Matrix Preservation Codes Preservative Codes <br /> 14 IM fi 3775 TRACY BLVD., TRACY,CA l H=H 7= !fate <br /> Site Address � N=HN NaOH <br /> B=NaOH <br /> Chevron PM RC Lead Consultant SECORRH 8=H2SO4 O=Outer <br /> E' <br /> ConsultantlOffice G-R, Inc. 6747 Sierra Court, Sulke J. Dublin, Ce 94 i o p ❑ "alga r needy <br /> ao ❑Must possible for 8260thpounds <br /> tion ltff& <br /> Consultant� Mgr Deanna L Harding (de•nne@$nrrc.com) a z � � <br /> Consultant Phone 925-551-7555 Fax P 925-551-7899 `o � 1 8021 WBE confirmation <br /> -� <br /> ❑Confirm highest hit by 8260 <br /> M 7M <br /> Sampler {bb ,.� 0 E tu � ' [1 Confirm all hits by 8260 <br /> Service Order# ❑Non SAR z_ <br /> O <br /> * 8 Rtes_oxy a an highest lilt <br /> Date Time 5-o [3 (3 Run_oxy a on all hits <br /> Sample Identification Colleded Collected 019 OQA D<1 �^ m <br /> 1. 1 Comments I Remarks <br /> a7 o <br /> �� o <br /> w <br /> e �o <br /> ef h n f � <br /> Relkx}u}shW _ _Time Received by <br /> -- urharound-filme RequestedffAT)(pleasa_drde) _ -- U 3/ <br /> TO TA 72 hour 48 hour Relinquished by to Time R hred D e Tune <br /> z u5- a day s day eDaie <br /> �! fi 31 <br /> byDate Time <br /> Data Package Options(please circle it required) 1�0 Reg" <br /> � � <br /> DC Summary Type i—Full Relinquished by Comn d-I Ca r Received b Data Tune <br /> Type VI(Raw Data) [3Coelt Deliverable not needed UPS FedEx Other 403 40 <br /> WIP(RWQCB) <br /> Disk Temperature Upon Receipt S C° Custody Intact? Ye No <br /> Lancaster Laboratory,Inc,2425 New HolWW Pike,PO flax 12425,Lancaster,PA 17605-2425 (717)656.2300 3460 Rev 7130!01 <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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