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ARCHIVED REPORTS XR0003352
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 XR0003352
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Entry Properties
Last modified
6/24/2019 11:47:45 AM
Creation date
6/24/2019 10:59:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003352
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 Infotmabon CHAIN-OF-CUSTODY RECORDCA Page 1 of 2 <br /> Alpha Analytical, Inc. WorkOrder : STR05091223 <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 • 20-Sep-05 <br /> Client Scott Bithnger <br /> Stratus Environmental TEL (530)676-6009 x <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes <br /> Suite 550 EMad sbrtbnger@stratusinc net Sampled by Justin Crose <br /> Cameron Park CA 95682-8861 <br /> Report Attention Scott Bittinger Job 2007-0835-011 USA Gasoline No 835 Cooler Temp 4°C Date Printed <br /> CC Report PO Client's COC# 05442 12-Sep-05 <br /> QC Level S3 = Final Rpt,MBLK LCS MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ALCOHOL_ TPWP_5 TPWP W voc s voc w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# s W Sample Remarks <br /> STRO5091223-OIA CPT-3-11 50 1 09/08/05 1 1 1 0 1 6 1 1 WWII BTxVW/ BTx c�sr <br /> 0839 EtoH 5exw 1 2 Soxysr i z <br /> DCA! DCM EDB_ <br /> EDB_C <br /> STRO5091223-02A CPT-3-18W I AQ 1 09/08/05 1 7 1 0 1 6 1 1 WOHI I I BTXEJGAS/ <br /> 0848 Roll saxys)iy Sox*1,2 <br /> DCAI DCA/ <br /> EDB_C EDB_C <br /> STRO5091223-03A CPT-3-28 I SO 1 09/08/05 1 1 1 0 1 6 1 1 meOH! BUDGAS) BTxErGAs/ <br /> 0910 EtOH Soxysl 3 2 Soxysl i� <br /> DCA! DCAf EDB_ <br /> EDB_C <br /> STR05091223-04A CPT-3-38W I AQ 1 09108105 1 7 1 0 1 s 1 MAH! BTxFJC," BTXEJGASI <br /> 0925 EtoH 5oxys/1,2 SoxW 12 <br /> DCA/ DCA/ <br /> EDB-C EDB-C <br /> STR05091223-05A CPT-3-46W I AQ I 09/08/05 1 7 1 0 1 6 1 1 WOHr I BTXFIGAS)I BTMGAsl <br /> 0950 EtOH 501ys/1,2 5oxys/12 <br /> WX DCA/ <br /> EDB C EDB-C <br /> STRO5091223-06A CPT-3-52W I AO 1 09/08/05 1 7 1 0 6 1 McOH/ I I BTXEJGASI I I BTXEIG" <br /> O � EfOH 5mys/1,2 So.*1 2 <br /> DCAI DCA) <br /> EDB-C EDB-C <br /> Comments Saturday shipment,samples Renta 4 C in secured area until logged in on Monday Send copy of receipt checklist with final report <br /> Signature Print Name Company Daterrime <br /> Received by � �LAY ,r���_ Alpha Analytical,Inc <br /> T <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples+null 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(Sod) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S Sod Jar O-Orbo T-Tedlar B-Brass P Plastic OT Other <br />
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