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EHD Program Facility Records by Street Name
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15688
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3500 - Local Oversight Program
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PR0545274
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Last modified
1/31/2020 6:05:52 PM
Creation date
1/31/2020 4:38:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545274
PE
3528
FACILITY_ID
FA0018313
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15688
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620077
CURRENT_STATUS
02
SITE_LOCATION
15688 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Boling Information. - CHAIN-OF-CUSTODY RECORD CA Page: 1 of 1 <br /> i Alpha Analytical, Inc. IWorkOrder : STR09072252 <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 : 29-Jul-09 <br /> Client: Report Attention Phone Number EMell Address <br /> Stratus Environmental Sarah Salcedo (530)313-9966 x ssalcedo@stratusinc.net / <br /> 3330 Cameron Park Drive _ EDD Required: YlS Xd <br /> Suite 550 // <br /> Cameron Park,CA 95682-8861 Sampled by:Levi Ford <br /> PO: Cooler Temp Samples Received Date Printed <br /> Client's COC#: 024057 Job: 2033-15688-01/City of Lathrop 4°C 22-Jul-09 22-Jul-09 <br /> OC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles IMETALS_5 TPHIP_5 VOL_ST I J <br /> Sample to Sample ID Matrix Date Alpha Sub TAT o <br /> � ! � � Sample Remarks <br /> STR09072252.01AISWC-1 SO 0,4/22/99 1 I 0 15- Pb cns-cnrx�Mc —i_ ` <br /> Comments: Secuo seals intact.Frozen ice.: ., <br /> Signature Prin ame Company Date/Time <br /> Logged in by: Ci t 7 J ,��p�/} Alpha Analytical,Inc. /2 <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: AO(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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