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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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Entry Properties
Last modified
6/11/2021 4:58:27 PM
Creation date
6/11/2021 3:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543854
PE
2960
FACILITY_ID
FA0024935
FACILITY_NAME
FORMER CHEVRON 94054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
01
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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Chevron California Region Analysis Request/Chain of Custody <br />f, <br />Lancaster Laboratories <br />Environmental <br />:41eurofins <br />-sb? <br />Acct. # I OCI OfV) <br />For Eurofins ster Lab atories Enviro ental use onl <br />Group # 70-7 Sample # ) <br />Instruction on reverse side correspond with circled numbers. <br />Client Information Matrix Total Number of Containers Analyses Requested <br />SCR #: <br />FtglA-4054-0ML G-R#17155216 Globarib#T0607700063 Soil 0 Sediment El Potable 111 Ground Water NPDES Surface 0 BTEX + MTBE 8021 El 8260'N--— TPH-GRO 80151 8260 LTPH-DRO 8015 without Silica Gel Cleanup E] TPH-DRO 8015 with Silica Gel Cleanup II] 8260 Full Scan _Oxygenates Total Lead Method Dissolved Lead Method n <br />0 <br />r <br />N <br />V, <br />Cr <br />s',........, <br />=r <br />f"' <br />(. <br />0 <br />Nn <br />\NI <br />4- <br />0 11] <br />0 Results In Dry Weight <br />I=1 J value reporting needed <br />ill Must meet lowest detection <br />limits possible for 8260 <br />compounds <br />8021 MTBE Confirmation <br />111 Confirm highest hit by 8260 <br />Confirm all hits by 8260 <br />0 Run oxy's on highest hit <br />PlitilSrtbuNTRy CLUB BLVD., STOCKTON, CA <br />Citron PM STANTECTF LriloCipssultani <br />brgiteVOn Inc., 6805 Sierra Court, Suite 0, Dublin, CA 94568 <br />55tAMPSVArding, dearmaggrinc.com <br />Ci)6ttr5P inY444 x180 <br /> Composite E Run oxy's on all hits <br />Sampler <br />soil Collected _o <br />2 Sample Identification Depth Date ,,,,,„ Time °,35_,_ 0 3 Remarks <br />M -14C X tn.) ),(' <br />k" Please forward the lab <br />results directly to the <br />Lead Consultant and <br />cc: G-R. <br />L.I 050 la- , x <br />5" 104 13 <br />(6, _0835- <br />17-55- <br />k <br />I <br />ki l32-5 <br />noci2.6, ti5e.S" <br />.,. t.)oct4J020 i <br />q, ,13oX04 ic;20 <br />noMrf[30 _ _ \I ,,V 0/ lc <br />Turnaround Time Requested (TAT) (please circle) <br />' ndard 5 day 4 day <br />Relinquished by <br />c. <br />Date <br />?/VVI e.- <br />Time Received by <br />, • <br />(---( ...4.,. ,,,,2-/4- <br />Date <br />- ri" <br />Time <br />(6,2y,& <br />72 hour 48 hour 24 hour <br />Re ed y Date Time Received by _--((7 , <br />/----- <br />Date Time <br />Data Package (circle if required) EDF/EDD Relinquished by / Date Time Received by Date Time <br />Type I - Full Type VI (Raw Data) <br />Relinquished by Commercial Carrier: Received by, Date Time <br />EDD (circle if required) UPS FedEx X Other — <br />EDFFLAT (default) Other: <br />°C Temperature Upon Receiptb,:-.4 — ( PI Custody Seals Intact? Eep No <br />Eurofins Lancaster Laboratories Environmental, LLC nd Pike, Lancaster, PA 17601 • 717-656-2300 <br />The white copy should accompany samples to Eurofins Lancaster Laboratories Environmental. The yellow COIN should be retained hv the client lrrcn nqiik
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