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ARCHIVED REPORTS_XR0008431
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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4344
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2900 - Site Mitigation Program
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PR0541976
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ARCHIVED REPORTS_XR0008431
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Entry Properties
Last modified
10/10/2020 10:28:50 PM
Creation date
7/9/2020 9:41:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008431
RECORD_ID
PR0541976
PE
2960
FACILITY_ID
FA0024090
FACILITY_NAME
CHEVRON FACILITY #9-9840
STREET_NUMBER
4344
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
10102157
CURRENT_STATUS
01
SITE_LOCATION
4344 WATERLOO RD
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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t .�*1f o,,.,.� �, Far Le"48"er L00flItdrles use only <br /> LaL <br /> u ro �I Met,N- ._� Semple t SGRR <br /> tMre1 Analyses Requested <br /> Secor MITI I 9t34ID 06 <br /> Preservation Codes d Preservagve Codes <br /> Facility lit SS*9-9R40 G-ROM846 Global IDIT0607700716 �I tiAatrtrr H=HCl T=Thlosultate <br /> 4344 WATERLOO ROAD STOCKTON CAL N=HNO3 B=NaOH <br /> Slie Address $=HISO. O=Other <br /> ANTI SECORRVW <br /> Chevron PM Lead Consultant ,1 value reporting needed <br /> R, Inc 674 7 Siarre Court, Sude.! pubiln Cal 945 a <br /> Consultant/office ! II ❑ I MUst meet b*wt delecOw UnIfts <br /> G- <br /> r <br /> Deanna L Harding (deannvagr-ric com, m*lefor 8280aarrpounds <br /> Consultant Pr) Mgr V � <br /> 5-551-755 925 551417889 f ❑❑ �d ❑ <br /> ❑ 2CME <br /> Consultant Phone M 92 # g 1mSM <br /> I a <br /> a E Confirm an hft by am <br /> sampler t <br /> Service Order# ❑Non SAP I� ❑ ? $ $ i+ ❑Run oxy a an highest hit <br /> DateTime t� 3 O + ❑ unR _axY s on OR bite <br /> Sample identification Collected 7 Commenbt r Remarks <br /> II I11 4— <br /> IV <br /> l 5 a A <br /> II ^ <br /> b�j LO <br /> 1 -4111-1 11 P <br /> ` !I `" 1 4 � %1� <br /> 1 II It � <br /> II !I <br /> i If 1f � <br /> I ll II I � <br /> RelkrWW*d by Time u r bate Time <br /> Turnaround Time Requested(TAT)(phase ckdo) iF I f f[� �l "/ jr5 f, `I ! <br /> ;STt�^fA7 72 hour 48 hour IR II by I bale Time Received try <br /> bate Time <br /> r 4t�ou9r9� d day 5 day <br /> Data Package Options(please drele K required} <br /> Itellngnlshed by- I t]sle Tkne ReceMad by bate Tkne <br /> QC Summary Tre I---Ful ii II <br /> Type M(Raw Dela) Coen oeriverahle not needed EDFIE IDD UPSRep»qufshed edEr Odrer Recerva try ba+e Time <br /> WIP(RWQCS) II,�,, �.e <br /> nlsk Te"'1 i'a" UponReew 1. re,stcdyr,_ In Itad? vee rVo <br /> Uncester Labaraly les,kir.,242,5 New Holland PWA.PO Sox 12425,Lancaster,PA 1Tti05.2425 (7i T)850-2300 j 3484 Rev Ir"t <br /> Coples WhRe and yaibw shouldaooampany samples to Lnc <br /> aaster Laboratories The pink copy should be setahied by the dlent <br /> I <br /> 1 `F <br /> S <br /> u ! i <br />
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