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ARCHIVED REPORTS_XR0008456
Environmental Health - Public
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WATERLOO
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2900 - Site Mitigation Program
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PR0541976
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ARCHIVED REPORTS_XR0008456
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Entry Properties
Last modified
10/10/2020 10:22:56 PM
Creation date
7/9/2020 9:47:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008456
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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LabinbriesFor I-Mcattow Labondortes use only <br /> t <br /> WoegA isasoarnca 6 ,571b 01 -06(o Acct sample# b2 5:_n I (anC SCR# <br /> Analyses Requested <br /> Faciilty# 9-9840 Job # 386486 Matrix Preservation Codes Preservative Codes <br /> H H=HCI T=Thlosuifate <br /> Site Address 4244 Waterloo Rd. Stockton CA N=HNO3 B=NaOH <br /> Chevron PM Robert Cochran Lead Consultant SecorellL1 S=H2SO4 O=Other <br /> A ❑J value reporting needed <br /> Consultant/Office 70 w R Inc. _6747 Sierra Ct, Dublin, CA_94568 c <br /> o a 8 Q° b ❑Must meet lowest detection limits <br /> Consultant Prj Mgr a o possible for 8260 compounds <br /> Consultant Phone# — Fax# 925-551-78 0 N a 8021 MTBE Confirmation <br /> Sampler Frank Terrinon ,410 c° g g O Q ❑Confirm highest hit by 8260 <br /> D 2 2 ❑ �' ❑Confirm all hits b 8260 <br /> Service Order* ❑Non SAR — � a Z � M Ln � � v <br /> Date Time 0 E e � ❑ o + $ t ❑Run_oxy s on highest hit <br /> Sam Ie Identlflcation Collected Collected 0 O 1 I LO o ❑Run_._oxy s on all hits <br /> D 0• •C( k I I Comments 1 Remarks <br /> KW-1 lapox Y, X <br /> w•- t �-S <br /> w•3 05� � <br /> I I I I c -) in <br /> i <br /> i <br /> T unci Time Requested(TAT)(please circle) Relinquished r 4 Date Time Time <br /> to} 17dO �' u �01 7 <br /> TD TAT 72 hour 48 hour R fished Date Time Rete by ate Time <br /> 24 ur 4 day 5 day lt�-10--RLOI <br /> j--f 1 C <br /> Data Package Options(please circle if required) Relinquished by Time Received bY. Time <br /> QC Summary Type I—Full <br /> Type VI(Raw Data) [:3Coen Deliverable not needed Relinquished b merdal Carrier R iv p to <br /> WIP(RWQCB) UPS edEx Other <br /> Disk Temperature n Receipt C° Custody Sags In Yes No <br /> Lancaster Laboratories,Inc,2425 New Holland Pike,PO Box 12425,Lancaster,PA 17605.2425 (717)858-2300 3460 Rev 7130101 <br /> Copies White and yellow should aocompeny samples to Lancaster Laboratories The pink copy should be retained by the client <br />
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