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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13975
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2900 - Site Mitigation Program
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PR0522057
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Last modified
11/20/2024 9:23:26 AM
Creation date
9/5/2019 2:14:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522057
PE
2950
FACILITY_ID
FA0015024
FACILITY_NAME
USA GASOLINE #3756
STREET_NUMBER
13975
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01908014
CURRENT_STATUS
01
SITE_LOCATION
13975 E HWY 88
P_LOCATION
99
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 /> r �, Alpha Analytical, Inc. WorkOrder : STR06102306 <br /> 3 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM Ori • 31-Oct-06 <br /> Client: Scott Bittinger <br /> Stratus Environmental TEL: (530)676-2062 x Q <br /> 3330 Cameron Park Drive FAX: (530)676-6005 EDD Required:Yes N <br /> Suite 550 EMail sbittinger@stratusinc.net Sampled by:Scott B. <br /> Cameron Park,CA 95682-8861 <br /> Report Attention: Scott Bittinger Job: 2007-3756-1/USA Station No.3756 Cooler Temp Samples Received Date Printed <br /> CC Report: PO: Client's COC#: 2698 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 TPHIP_S voc_s <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> FTR06102306-01A B1-30 SO 10/18/06 1 0 6 GAS-C I BTEX/OXY- I <br /> 14:35 C <br /> STR06102306-02A B1-50 SO 10/18/06 1 0 6 GAS-C BTEXiOxY- <br /> 15:30 C <br /> STR06102306-03A 132-30 1 SO 1 10/19/06 1 1 1 0 6 GAS-C BTEx/oxY <br /> 09:02 c - <br /> ST--C—306-04A B2-45 SO 10/19/06 1 0 6 GAS-C BTEX/OXY_ l <br /> --6 — 09:20 I 1 C -- I <br /> STR06102306-05A 63-30 SO 10/19/06 1 0 6 GAS-C IBTEX/OXY_ <br /> 11:52 I c _ <br /> STR06102306-06A B3-45 SO 10/19/06 1 0 6 1 GAS-C BTEX/OXY_ l <br /> — --- 12:14 I I C -I-----� --I <br /> STR06102306-07A 134-29 SO 10/19/06 1 0 6 GAS-c IBTEX/oxY_ <br /> 15:45 C <br /> STR06102306-08A B4-49 SO 10/19/06 1 0 6 GAS-C BTEY/OXY_ <br /> 16:16 c <br /> Comments: Security seals intact. Frozen ice. Saturday deliveLy. Samples received 10/21/06 kept cold and secure until login on 10/23/06 Send copy of receipt checklist with final report Direct Bill to USA <br /> Gasoline Co. <br /> Signature r Print Name Company Date/Time <br /> Logged in by: ( a! '! Alpha Analytical,Inc. <br /> I <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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