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ARCHIVED REPORTS_XR0002619
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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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_XR0002619
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Entry Properties
Last modified
2/3/2020 6:14:59 PM
Creation date
2/3/2020 11:19:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002619
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
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SJGOV\sballwahn
Tags
EHD - Public
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7 <br /> Billing Infomaation CHAIN—OF-CUSTODY RECORD CA <br /> i of <br /> i' ' <br /> Alpha Analytical, Inc. WorkOrder : STR05031071 <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 - 18-Mar-05 <br /> Client. Gown Kowtha <br /> Stratus Environmental TEL (530)676-6002 <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes PD)~Required No <br /> Suite 550 EMail gkowtha@stratusinc net Sampled by V Zalulka <br /> Cameron Park CA 95682-8861 <br /> Report Attention Gown Kowtha Job Joe's Truck Plaza Cooler Temp 4°C 10-Mar-05 <br /> CC Report PO Client's COC# 06719 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests l <br /> Alpha Client Collection No of Bottles ALCOHOL_ TPHIE_W TPHIP w Voc w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w I Sample Remarks <br /> I <br /> STRO5031071-01A MW-1 AQ 03/09/05 8 0 6 WOHMOH TPHIE-C GASC BTExroXYI <br /> 1010 EDBA 2 <br /> DCA_C <br /> 51 R05031071-02A MW-2 AQ 03109/05 8 0 6 WOHMOH TPHIE_C GASC BTEX/OXY! <br /> 09 44 <br /> EDB/1,2 <br /> DCA-C <br /> STRO5031071-03A MW-3 AQ 03/09/05 6 0 6 McOWF H TPHIE_C GASC BTEXoXT/ <br /> 0806 EDB112 <br /> DCA_C <br /> STRO5031071-04A MW-4 AQ 03/09/05 8 0 6 WOWDOH TPH/E_C GAS C BTE=Xyl <br /> 0714 ED1311 2 <br /> DCA-C <br /> STR05031071-05A MW-5 AQ 03109/05 8 0 6 MCOHIEiOH TPH/E_C GAS C BTEXIOXYI <br /> 0740 EDBA 2 <br /> DCA C <br /> STRO5031071-06A MW-6 AQ 03109/05 8 0 6 MCOWMI-1 TPHT—C GASC BTEXIOXYI <br /> Ofi 43 I <br /> EDB/1 2 <br /> DCA_C <br /> STR05031071-07A MW-7 l AQ 03/09/05 8 0 6 McOHIEtOH 7PHlE_C GASC BEDBlOt 2YI <br /> 0842 DCA_C <br /> STRO5031071-08AI MWO-IX I AQ 03/09/05 8 0 1 6 McOH1EtOH TPHlE_C GAS 13TMOXYI <br /> 09 20 EDBI12 <br /> DCA-C <br /> STRO5031071-09A MWO-2 AQ 03/09/05 1 8 0 6 WOHIDOH TPH1E_C GAS C BTEMXYr <br /> 11 30 EDB11 2 <br /> DCA-C <br /> Comments Secunty seals Frozen ice Sample dates are listed on client chain as 219105-loE¢ed in as 319105 <br /> ure Print Name Company DatErfime <br /> Received by OQ51�z <br /> 6&M - <br /> Q Alpha Analytical,Inc (311b1e 3�-W <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(Sod) 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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