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2900 - Site Mitigation Program
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PR0522056
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Last modified
5/17/2019 3:24:27 PM
Creation date
5/17/2019 2:48:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522056
PE
2950
FACILITY_ID
FA0015023
FACILITY_NAME
USA GASOLINE #3502
STREET_NUMBER
35
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04318003
CURRENT_STATUS
01
SITE_LOCATION
35 N CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Billing Information: CHAIN—OF—CUSTODY RECORDn Page: 1 of 1 <br /> Alpha Analytical, Inc. WorkOrder : STR06102326 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM On : 31-Oct-06 <br /> Client: Scott Bittinaer <br /> Stratus Environmental TEL: (530)676-2062 x <br /> 3330 Cameron Park Drive FAX: (530)676-6005 EDD Required:No <br /> Suite 550 Entail: sbittinger@stratusinc.net <br /> Cameron Park,CA 95682-8861 Sampled by:Scott b. <br /> Report Attention : Scott Bittinger Job: 2007-3502-1/USA Station No.3502 Cooler Temp Samples Received Date Printed <br /> CC Report: PO: Client's COC#: 3385 4 OC 21-Oct-06 23-Oct-06 <br /> QC Level: S3 = Final Rpt,MBLK,LCS, MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPH/P_s voc_s <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR06102326-01A B-4-30 SO 1 10/18/06 1 1 1 0 1 6 1 1 GAS-c BTEwoxY_ <br /> 10:02 c <br /> STR06102326-02A B-4-50 SO 1 10/18/06 1 1 1 0 1 6 1 7 GAS-c BTEX/OXY_ <br /> 10:45 c <br /> Comments: Security seals intact Frozen ice Saturday delivery samples kept cold and secure until login.Direct bill to USA Gas Co. <br /> S. nature Print Name Company Datc/Time <br /> Logged in by: �J Alpha Analytical,Inc. 1 )Z—]1:/ <br /> — — -- - -— — <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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