My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0003352
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
COUNTRY CLUB
>
2705
>
3500 - Local Oversight Program
>
PR0544595
>
ARCHIVED REPORTS XR0003352
Metadata
Thumbnails
Annotations
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
Scanner
SJGOV\wng
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
204
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
• <br /> Billing Infomt�on • Page 1 of 2 <br /> CHAIN-OF-CUSTODY RECORD CA <br /> Alpha Analytical, Inc. WorkOrder : STRO5091426 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5-001"M On • 22-Sep-05 <br /> Client Scott Bittlncler <br /> Stratus Environmental TEL (530)676-6009 x <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes <br /> Suite 550 EMail sbithnger@stretusincnet <br /> Cameron Park,CA 95682-8861 Sampled by Justin Crose <br /> Report Attention Scott Bitbnger Job 2007-0835-011 USA Gas Station No 835 Cooler Temp 40C Date Printed <br /> CC Report PO Client's COC# 6510 14-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 S TPWP w voc s voc_w <br /> Sample ID Sample ID Matnx Date ORG SUB TAT PWS# s w Sample Remarks <br /> STR0509142"lA CPT-4-18W AQ09/09/05 7 0 6 14,0111 aTXFIGAsr 11TX11GASI <br /> 13 OB Doti 5"W 1 2 5oxysl 12 <br /> DCA DCA, <br /> EDB C EDB-C <br /> STR0509142t3-02A CPT-4-26W AQ09/09/05 7 0 6 McOHI BTXFJGAsI BTXEJGAsI <br /> 13 30 EtoH SoxW 12 SoxW 12 <br /> DCA DCA <br /> EDB-C EDB-C <br /> STRO5091426-03A CPT-4-32W AQ 09/09/05 7 0 1 6 1 1 MooHl I BT)WGnsr I BTXEII, r <br /> 1045 EtOH 5oxnr 12 soar 12 <br /> DCA. DCA, <br /> EDB-C EDB-C <br /> STR05091426,04A CPT-4-40W AQ 09/09/05 7 0 6 14,0111 BTXEIGAsr aTxFJGAs1 <br /> 11 00 ROH soxysr 12 5oxyd 12 <br /> DCA DCA <br /> EDB_C EDB C <br /> STRO5091426-05A CPT-4-49 SO 1 09/09/05 1 0 6 McOH 1 BTXFJGASI BTXEIGA51 <br /> 1159 EtOH Soxys1 12 SoxyV 12 <br /> DCA DCA EDB_ <br /> EDB-C <br /> STR05091426 Q&A CPT-4-61 50 1 09/09/05 1 0 6 McOH 1 BTxFJGAs1 I I BTXFJG" <br /> 1213 EioH Soxys/1 2 Soxyir 12 <br /> DCA DCA EDB_ <br /> EDB-C <br /> Comments Security seals intact,ice frozen Ca samples Send copy of receipt checklist with final report For sample#02 lab received 3voas broken <br /> Si ature Print Narne I Company I F paterrime <br /> Received byy �✓ J ` 1 �-' Alpha Analytical,Inc <br /> r <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 dient expense <br /> The report for the analysis of the above samples 1s 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 0 Orbo T-Tedlar 8-Brass P-Plastic OT-Other <br />
The URL can be used to link to this page
Your browser does not support the video tag.