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ARCHIVED REPORTS_XR0008454
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0008454
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Entry Properties
Last modified
10/10/2020 10:22:18 PM
Creation date
7/9/2020 9:47:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008454
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
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EHD - Public
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11 1I , <br /> (�hevron California Region Analysis RequestlChain of Cusi <br /> +LarxLaboratories For Lancaster Laboratories use only <br /> wter <br /> is a saence Acct # 1 DgOln Sample#-2a5 Ll W X-1,1 1 SCR# <br /> 1 I� II ✓ Analyses Requested <br /> Facia t #_9-9840 Job#386846 _ Global ID#T0607700716 Matrix Preservation Codes Preservative Codes <br /> ' JaL H=HCI T=Thiasulfate <br /> Slte Address4344 WATERLOO RD., STOCKTON, CA_ C N=HNO3 B=Na0H <br /> Chevron PM Robert Cochran Lead Consultant Sector' 1 4 S=H2SO4 O=Other <br /> U Z <br /> Consultant/Office l I' B io 945M a c 8 Cto I <br /> [3 1 value reporting needed <br /> �C 11 a ;� N ❑Must meet lowest detection limits <br /> Consultant Pq Mgr d o W O i i possible for 8260 compounds <br /> Consultant Phone#9 -5,��1-7566_ Fax# _ 11 ❑❑ o 0 + 0 Q 8021 MTBE Confirmation <br /> 25 <br /> Sampler Q lJ1�� m ❑ W o [3Confirm highest hit by 8260 <br /> Service Order P []Non SAR 1 I i -.7z g _ W F I 11 Confirm all hits by 8260 <br /> n m + A c ❑Run_oxy s on highest hit <br /> Date Tlme m E — "' ❑ co `� o 2. <br /> Sample identification Collected Collected 0 O fa m � Run oxy s on all hits <br /> 1Q 1 t{•D}., [I I! 12. k Comments 1 Remarks <br /> w, t�►�� 'I X <br /> ' <br /> w-.1. 11 U xX X1 <br /> w- I %Ak x <br /> 11 If <br /> fl I! <br /> ' 11 II <br /> I 1I II I <br /> Reli�qulshad b Date TimR ed by Date <br /> Twmamnd Time Requested(TAT)(please arcle) 15,41 Time j5- <br /> ELTADT 72 hour 48 hour lint Data Time Re Time <br /> 4 day 5 day -B-fl !6'ax7 <br /> Data Package Options(please circle if required) Relinquish iI etl by Time Received by l� De>a Time <br /> QC Summary Type I—Full 1 <br /> Type A(Raw Data) ❑Coelt Deliverable not needed Relinquished by Commercial Camey Receiv b Time <br /> 1 <br /> WIP(RWQCB) UPSj FedEx Oche ~)D <br /> Disk Temperature Upw Receipt _0 co Custody Seals Intact? Ye No <br /> • 1 Rev 7!30!01 <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,P 12425,Lancaster,PA 17605-2425 (717)656-2300 <br /> Copies White and yellow should accompany sa i'Iples to La boratones The pink copy should be retained by the client. <br />
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