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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 Informal* CHAIN-OF-CUSTOR <br /> RECORD 'RageCA <br /> 5of8 <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 : 5:00 PM On . 26-May-04 <br /> Stratus Environmental Scott Bittinaer <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 Bittinger PO 2033-15600-1 Client's COC# 314813149131501315113153 <br /> CC Report Cooler Temp 4°C 18-May-04 <br /> p <br /> QC Level S3 = Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests t <br /> Alpha Client Collection No of Bottles ALCOHOL_ALCOHOL— TPHIE_s TPHIE_W I WHIP S TPHIP w YOc_s voc W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PW5# s w - <br /> �� I Sample Remarks <br /> STR0405181- 45-37TCPT3-68� AQ 05/14/04 �7 0 6 — L°HLev°I rrHrE_c <br /> 0840 McOH EtoH �Brxercns_ �erx�cas_l — <br /> clsxoy�rl 2D 05,ovs/i 201 <br /> CAIEDB CAIEDB <br /> STR04051845-38A, CPT3-79 AQ 05/14/04 1 4 0 6 Low Level TPHIE C BTXE/GAS BTXE/GAS <br /> 0910 WOH/ i One nonpreserved&two <br /> EtOH <br /> C7CAiE E 2b c/CA 12bE HCL reserved VOA's rcv d <br /> CAIEDB � <br /> cArEDB p <br /> STR04051845-39A, CPT4-10 AQ 05/14/04 7 0 6 Lo,Leel TPHIE Cbroken <br /> BTXEIGAs <br /> 0955 WOHIMOH 05xoysil 2D C/5 oysrl2D, <br /> STR04051845-40A, CPT4-20 SO 05/14/04 1 0 6 Low Leel TPH/E C BTXFJGAs_I CA/FOB BTXE/GAS CAIEDB <br /> 1000 McOHIMH C15oxvsri 2DI <br /> � Cl5oxyslt 26 , <br /> CA/EDB CA/EDB <br /> STR04051845-41A, CPT4-27 AQ 05/14/04 3 0 6 Lou Level TPHB C BTXEIGASBTYEIGAS_ <br /> 1015 McOHIEIOH — ClSxaysll 25 clsNnysJl 2bi Two nonpreserved&two <br /> CAIEDB CA/EDB HCl preserved VOA's rev'd <br /> STR04051845 42A CPT4-36 AQ 05/14/04 7 0 6 Low Leet TPH/t:_C 'BTxs/GAs BTXLIGAs_ broken <br /> 11 15 McOH/EtOH .05x0ys/l za erstoysi 2121 <br /> CAIEDB CAIEDB <br /> —ST R04051845-43A PC T4-fi6 AQ 05/14/04 7 0 6 Lou Leel TPH/E C <br /> 11 55 _ r BrxFrGns BTXEIGAS l <br /> McOWDOII ICISxoysrl2p 05xoys/l201 <br /> STRfl4051845-44A{ CPTB 8 SO 05/14/04 1 0 6 Low Le�ei TPHlECAIEDB CA/EDB <br /> I _C BTXkAS BTXE/GAS_ I <br /> 1255 McOH/EtOH <br /> ' ClSoxysll2D� CrSoxvsll2ll <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 i Print Nante <br /> � Company Date/Time <br /> Received by 1 1 <br /> -� Alpha 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 /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Danking Water) OT(Other) Battle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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