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ARCHIVED REPORTS XR0003351
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2705
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3500 - Local Oversight Program
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PR0544595
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ARCHIVED REPORTS XR0003351
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Entry Properties
Last modified
6/24/2019 1:09:28 PM
Creation date
6/24/2019 10:59:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003351
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Billing Intinnation CHAIN—OF—CUSTODY RECORD CA Page 2 of 2 -� <br /> Alpha Analytical, Inc. WorkOrder : STR05122325 <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 : 04-Jan-06 <br /> Glent Gown Kowtha 7-- <br /> Stratus Environmental TEL (530)676-6001 x <br /> 3330 Cameron Park Dnve I FAX (530)676-6005 EDD Required Yes <br /> Suite 550 Email gkartlia@stratusinc net <br /> Cameron Park CA 95682-8861 - — Sampled by Vince Zaluft <br /> Report Attention Gown Kowtha Job 2007-0835-011 USA 8350 <br /> CC Report PO Client's COC# none Gooier Temp 4 C Date Printed <br /> 23-Dec-05 <br /> QC Level S3 = Fina!Rpt,MBLK,LCS MSIMSD With Surrogates <br /> Requested Tests ! <br /> Alpha Client Collection No of Sofles (ALCOHOL_ TPHtE_w TPHtP_w j voc_�- — <br /> Sample ID Sample ID Matrix Date ORG SUS TAT PWS# w Sample Remarks <br /> STR05122325-09A MW-9 'AQ 12/22/05 i 8 0 6 McOH TPH/E-C ' GAS-C BTM -- <br /> i 09 48 I EtoH soxrr 1,2 <br /> DCA-C <br /> STRO5122325-10A MW-10 j AQ 112/22/05 8 0 6 MAH T?IVE_C ! cas-c I MX/ , <br /> 1 0736 i EtOH SOXY/1.2 <br /> __ _ DCA_C <br /> STRO5122325-11A VEW-1� � AQ! 12/22/05 8 0 6 � Mi OKI—TPrvE c cas-C BTEYJ � ! I <br /> 08 30 ! I EtOH - soxr�1 2 I Sample ID on voas versus <br /> VCA C coc do not matche,logged in <br /> as per voa ID's <br /> ISTROS122325-12A VEW-3 AQ , 12/22/05 8 0 6 MeOHf TME , GAS-C sTEw ! <br /> I Sample ID on vows versus <br /> i <br /> 0850 I EtOH soDC c , coc do not matche,logged in <br /> as per voa 10's <br /> Comments Security seals intact ice frozen Ca samples Send copy of r i checklist with final mpart For last two samples on coc ID's on coc versQ chain do not match,Logged in as RE voa Id's as Pff <br /> typical sample ID's on other wA orders <br /> Signature_ _ _ _Print Name Company _ atelTime j <br /> Logged in b _ -�— - 1r�e�T Alpha Analytical,Inc <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(Dnnktng Water) OT(Other) Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plasbc OT-Other <br />
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