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ARCHIVED REPORTS_XR0002601
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARLAN
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15600
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3500 - Local Oversight Program
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PR0545273
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ARCHIVED REPORTS_XR0002601
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Entry Properties
Last modified
2/3/2020 6:38:10 PM
Creation date
2/3/2020 11:11:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002601
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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4 <br /> Billing Information! �+ T ry n 71 <br /> CHAIN-OF-CUS i O� I ECORD CA Page <br /> Alpha Analytical, Inc. WorkOrder : STR03122243 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By 5;00 PM On . 31-Dec-03 <br /> Stratus Environmental Steve Carter <br /> 3330 Cameron Park Drive TEL (530)676-6008 <br /> Suite 550 FAX (530)676-6005 EDD Required Yes <br /> Cameron Park,CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Steve Carter PO Client's COC# 3468 Cooler Temp 4°C 2 <br /> CC Report 2-Dec-03 <br /> QC Level S3 Final Rpt MBLK,LCS MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOLw - TPHtE-W TPHlP-w voc w <br /> - <br /> Sample ID Sample ID -- Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STRO3122243-10A, MWO-3 Ad 12/19/03 1 8 0 6 Me0wE10H TPH/E c BTxErcns_ BTxEn;As — __---- — --- --- - <br /> -- - - - - -- - - 09 30 �_- c re 2DDCA$crn 2DCA s 1 <br /> I <br /> Comments Custody seal Frozen ice CA samples Samples,received Saturday 12/20/03 samples kept cold&secure until log-in Monday 12/22/03 EDF Send co of receipt checklist with final report One <br /> VOA for MW-5 received broken <br /> Signature Print Name Company Date/Time <br /> r � <br /> Received by _j J�� 4 - �f �f(� t� Atpha Analytical,Inc / <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 /> Matnx Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sod Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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