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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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• • • <br /> Billing Iaformation CHAIN—OF—CUSTODY RECORD CA Page f of 1 <br /> Alpha Analytical, Inc. WorkOrder : STR05091207 <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 Bitbnger <br /> Stratus Environmental TEL (530)676-6009 <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes <br /> Suite 550 EMail sbittinger@stratusinc net <br /> Cameron Park,CA 95682-8861 Sampled by Justin Crose <br /> Report Attention Scott Bittinger Job 2007-0835-Ot/USA Gasoline Station No 835 Cooler Temp 4°C Date Printed <br /> CC Report PO Glenys COC# 6509 12-Sep-05 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ALCOHOL_ TPWP_S I TPHIP w voC svac_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# s w Sample Remarks <br /> STRO5091207-01 CPT-1-14 SO I 09108105 I 1 1 0 6 M1c011 I GAS.0 BTEXIOxyl <br /> 1327 EioH L 2DCMED6 <br /> c <br /> STR05091207-0 CPT-1-19W I AQ 1 09/08/05 1 7 1 0 6 WOH! GAS a I BTExloxyr <br /> 1345 Fi°H i;DCAMD <br /> sc <br /> STR05091207-0 CPT-1-32W AQ 09108!05 7 0 MAH 7 cA s c erExroxD <br /> 14 10 DoH i,xacA+en <br /> ac <br /> STR05091207-04 CPT-1-41W AQ D9108105 7 0 6 Wolf I GAS C BTEXMXYI <br /> 1435 EtOH 1ADCA&n <br /> sc <br /> 5TRD5094207-0CPT-1-52W AQ 09108105 7 D 6 McDH! Gas c BIT"Xyl <br /> 15 05 <br /> EtOH <br /> i znc <br /> eC <br /> STRO5091207-0 CPT-1-62 SO 1 09/08/05 1 0 6 M�axr GAst 12DCAM <br /> 1538 EtOH i zDGv>pB <br /> c <br /> STR05091207-07CPT-1-73 SO 1 09!06105 1 1 1 0 1 6 1 meOH i GASB <br /> 15 51 ROH i`=1 <br /> c <br /> Comments Saturday delivery,samples kept in secured area -Q Ne until login Monday 9-12-05.frozen ice Send cony of receipt checklist with final report <br /> Signature r Print Name Company Datrmme <br /> Received by ( S t� tj 7ES Alpha Anatytital,Inc <br /> NOTE Samples are discarded 60 days atter 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 taboratory is limited to the amount paid for the report. <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking 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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