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ARCHIVED REPORTS_XR0008448
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2900 - Site Mitigation Program
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PR0541976
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ARCHIVED REPORTS_XR0008448
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Entry Properties
Last modified
10/10/2020 10:23:44 PM
Creation date
7/9/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008448
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
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EHD - Public
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I II <br /> Chevron Regio • ` <br /> qu6st/C in of Custody <br /> 1 <br /> LabOrdtOneS For n s r Laboratories se only <br /> +Lancaqer Mer quaRyisasa�ce I Acct # 019��Sample#� L ! -�6 SCR# <br /> (�'''') G,00 5�a)47 <br /> V L n o�, "� I� �J�] Analyses Requested <br /> 1 If <br /> Facility# 9-9840 Job# 386846 Global ID #706077007,16 Matrix Preservation Codes Preservative Codes <br /> I H=HCI T=Thlosuifate <br /> Site Address_ 4344 WATERLOO ROAD, STOCKTON, CA iICIL <br /> N=HNO3 B=Na0H <br /> Chevron PM Robert Cochran Lead Consultant Secor a S=H2$O4 0=Otfier <br /> m ❑J value reporting needed <br /> Consuitant/Offrce G-R Inc. 6747 Sierra Ct #J, Dublin, CAI p w c ❑ c O <br /> 0.a :9 8 .p ❑Must meet lowest detection limits <br /> Consultant Pr) Mgr Deanna L. Hardi deanna@ rincl.come a Z 0 4 0 possible for 8260 compounds <br /> ❑❑ 8021 MTBE Confirmation <br /> Consultant Phone# 925-551-7555 Fax# 925-551-7899 �� g Q .,� <br /> y, ❑Confirm highest hit by 8260 <br /> Sampler ou.' ( l?j m ❑ .0 o c ^ <br /> I H ` 3 m © ©Confirm all hits by 8260 <br /> Service Order# ❑Non SAR �f I - Q z []Run_oxy s an highest hit <br /> Date Time � c o � 0 e <br /> Sample Identification Collected Collected 0 0 O t- m ❑Run_Doty s on all hits <br /> A -7146).6). f l If a. MfK Comments 1 Remarks <br /> 1[ono <br /> MW 0 Boa <br /> o � >< 6 x <br /> 0%33 X 6 AX <br /> 9 <br /> d 0, <br /> AA A <br /> II If <br /> 1 if II <br /> II IF <br /> Relinquished by Date Time to rime <br /> Tu round Time Requested(TAT)(please circle) �I II Qe� d�3 0t0� <br /> D T 72 hour 48 hour j%& <br /> ?811 <br /> WWTime R by ate Time <br /> 24 hour 4 day 5 day Z,� 13Data Package Options(please arGe d regwred) rs II D e Time Race by Date Time <br /> z. <br /> QC Summary Type I—Full Lim- Z <br /> Relinquished by Commeraal Carver R Date Time <br /> Type A(Raw Data) ElCoelt Deliverable not needed r <br /> WIP(RWQCB) UPS FedEx ther / <br /> Disk Temperature Upon Receipt ,-C° Custody Seats lintact? Yes No <br /> o F;ev 7t30101Lancaster Laboratories,Inc,,2425 New Holland Pike, x 12425,Lancaster,PA 17605-2425 (717)856-2300 <br /> • Copies White and yellow should accom Ipiany s Imples to Lan Laboratones The pink copy should be retained by the dient. <br />
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