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ARCHIVED REPORTS_XR0002623
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_XR0002623
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Entry Properties
Last modified
2/3/2020 7:01:16 PM
Creation date
2/3/2020 11:21:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002623
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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Billing lnformaU <br /> CHAIN-OF-CUSTOjO RECORD 0age <br /> CA 1of8 <br /> Alpha Analytical, Inc. WorkOrder : STR04051845 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5.00pm Ori : 26-May-04 <br /> Stratus Environmental Scott Bitt€ngerer <br /> 3330 Cameron Park Drive TEL (530)676-6009 <br /> Suite 550 FAX (530)676-6005 EDD Required Yes <br /> Cameron Park,CA 95682-8861 Job 2033-15600-01/Joes Truck Plaza Sampled by Evan/Scott <br /> Report Attention Scott B€ttinger PO 2033-15600-1 Client's COC# 314813149/31501315113153 Cooler Temp 4°C <br /> CC Report 18-May-04 <br /> QC Level S3 = Final Rpt,MBLK,LCS MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ ALCOHOL- <br /> TPHIE 5 TPHIE W i TPHIP s TPHlP_w € VOC S VOC W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# S w <br /> _ f Sample Remarks <br /> STR04051845-01AF CPT01-12 AQ 05112104 ' 7 0 6 Lo-Lnel TME_C BTxEJGAS — BTWGA' --- <br /> ll 15 WOHMOH fClsxoysll 213 C15xoystl 2151 <br /> CA!£DB CAIEDB <br /> STR04051845-02A' CPT01-15 SO 05/12/04 1 0 6 Low Level C TPHIE_ BTXDGAS BTXEJ(,AS <br /> 11 40 McOHIEiOH I 05oxys/126� GSoxysll25 <br /> € <br /> STR04051845-03A1 CPT01-22 AQ 05/12/04 7 0 6 Low Level TPHrECA/EDB_e CAIEDB <br /> BTXFJGAs BTxEJGAS <br /> ' 14 50 McOHIEtOH C15xv)-J12D Cl5xoysll 2D <br /> CA/EDB CAIEDB <br /> STR04051845 04A CPT01 28 5005/12/04 i 0 6 Lo Le1el rPHrE c BTXEIGAS ' BTXEIGAS_ <br /> 1243 ' WOHIEIOH - G5oxysr]26 C15oxysll 2D € <br /> CAIEDB CAIEDB <br /> STR04051845-05AI CF'T01 39 S0 135/12/04 1 0 6 Low Level TPH/E_C BTXF)GAs BTXE/(,AS_ <br /> 1315 MCOHrE(OH 05oayslE 2131 GSoxys/i 213 � <br /> - --r ---- --— CA/EDB CA/EDB <br /> STR04D51845-D6A' CPT01-51 i SO 05/42/04 1 0 3 6 Lox Leel TPH(E_C E BTXEIGAS BTXE/GAS_ -� <br /> 1330 McOHIEIOH C/Soxys l 25I' Cl5oxys/I 2D <br /> --� CAIEDB CAIEDB { <br /> STR04051845-07AI CPT01-62 AQ 05/12/04 7 0 6 Low Led TPHIE_C €BTxE/GAs BTxFJGAS-- --_ <br /> 13 40 WeOHIEtOH i0itoysrl 2D (,l5xoysri 2131 <br /> CAIEDB CAfEDB <br /> STR04051845-08A CPT01-75 AQ 05/12/04 ' 7 0 6 j Low Le,ci TPH/E_C BTXFJOAS BTXEJGAS_I <br /> I1405 McOH/EtOH ct5xoysfl 25 GSxoysrl 2D, <br /> CAIEDB CAIEDB <br /> STRO4051845-09AI CPT5-11 AQ 05/13/04 I 7 0 6 Low Level TPHIE_C BTxEJGAS_ BTXEIGAS <br /> 0850 McOWDOH '05xoy01 2D Ciixoys/l 26 <br /> CAIEDB CAIEDB <br /> Comments Custody seal Frozen Ice Send copy_of receipt checklist with final report Some VOA's received broken,see Remarks on COC <br /> Signature Print Fame Company Daterrime <br /> Received by r <br /> Alpha Analytteal,Inc Ir ?a J r <br /> (VOTE 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 lability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(So€I) 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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