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ARCHIVED REPORTS_XR0002621
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_XR0002621
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Entry Properties
Last modified
2/3/2020 6:33:11 PM
Creation date
2/3/2020 11:20:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002621
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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BillingInform <br /> CHAIN-OF-CUST Y RECORDCA T of�age <br /> Alpha Analytical, Inc. WorkOrder : STR0409I744 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Ghent <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By - 5.00 PM On - 27-Sep-04 <br /> Stratus Environmental Steve Carter <br /> 3330 Cameron Park Drive TEL (530)676-6008 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park CA 95682-8861 Job Joes Truck Plaza Sampled by C Hill <br /> Report Attention Steve Carter PO Client's COC# 08378 Cooler Temp 4°C 17-Sep-04 <br /> CC Report A <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL__ TPHIEw TPHlP_w voc w <br /> w I <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# I Sample Remarks <br /> STR04091744-01A MW-1 AQ 09116/04 j 8 0 6 McOWDOH TPHIE_C BTxEiGAs_ BTAEIGAS_ __- <br /> 06 04 ' C/5oxyg,Eoa 05oxys/E13B i <br /> 11,2DCA 112DCA <br /> STR04091744-02A, MW-2 I AQ 09/16/04 I 8 06 i McOHM01-1 TPH/E_C BTXDGAS_ BTXEIGAS <br /> 0556 I 05oxys/EDB C15oxys1ED13 I <br /> 112DCA 112DCA <br /> STR04091744-03A' MW-3 AQ 09/16/04 1 8 0 6 McME0H TPHIE_C BTXElGAs BTXE/GAS I <br /> 0622 1 05oxyVEDB C/5oxys/ED8 <br /> 112DCA 112DCA <br /> STR04091744-04A' MW-4 AQ 09/16/04 8 0 6 WOHIDOH TPH/E_C BTXEIGAs BTXE<GAs_ --- <br /> 04 23 05oxys/EDB C15oxysIEDB <br /> 112DCA 112DCA <br /> STR04091744-05Ai MW-5 AQ 09/16/04 ' 8 0 6 McOHIEtOH TPH/E_C BTXE/GAs_ BTXEIGAS_ <br /> 0443 I ClSoxyVEDB 05mys/EDB <br /> 112DCA 112DCA <br /> STR04091744-06A MW-6 AQ 09/16/04 I 8 0 1 6 1 McOHIROH TPHIE_C BTXE1GAs_ BTXE1GAs <br /> 0501 ; C/5ox}s/EDB 05oxys1EDB <br /> 112DCA 112DCA <br /> STR04091744-07A' MW-7 AQ 09/16/04 8 0 6 WOHI&01-1 TPwE_C BTXFJGAs BTxEIGAs --- -0642 I C15oxys/EDB C15oxysIEDB <br /> 112DCA 112DCA <br /> STR04091744-08A MWOAX AQ 09/16/04 8 0 6 McOHIDOH TPHIE_C BTXEIGAS_jBTXEIGAS_ — <br /> 05 38 I C15orysrEDB C15oxys/EBa <br /> /1 2DCA A 2DCA <br /> STR04091744-09A MWO-1 AQ 09/16/04 8 0 6 McOWMH TPHIE_C BTXEIGAS BTXEIGAS_ <br /> 07 22 C/%xys1EDB C15oxys/ED13 <br /> 112DCA 112DCA <br /> Comments Custody seal Frozen_ice Send copy of receipt checklist with final report Sample time not listed on COC,sampling time taken from sample VOA's <br /> ff Signature Print(Same Company Datc/Time <br /> Received by 1' � -�� � "��Ce-y Alpha Analvtical,Inc f 1 I I'l4 <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(Arr) 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 /> I <br />
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