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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 Informab40 CHAIN-OF-CUSTOT �ge . <br /> RECORD CA <br /> 6of8 <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 Blttinger <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 2033-15600-011Joes Truck Plaza Sampled by EvaiVScott <br /> Report Attention Scott Bittinger PO 2033-15600-1 Client's COC# 31481314913150/315113153 Cooler Temp 4 oC <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 ALCOHOL_ TPHIE_S Req w TPHIP_S TPHIP_w VDC_s YDC—W f <br /> Sample ID Sample ID Matrix Dale ORG SUB TAT PWS# <br /> — _ Sample Remarks <br /> STR04051845— 45A� CPT8-12 AQ 05114!04 7 0 6 _ Low Level TPH/E_C I BTXE1GAs <br /> 1300 MCOWEIOH 105xoyel 25 C15XOYVI 251 <br /> 5TR0405184546A1 CPT8-166 SO 05/14/04 1 0 6 I Low Les el TPHIE c BrxErG € <br /> 1310 i McOHIEIOH _ ns_ BT�cErGAs CAIEDB CAIEDB <br /> 05oxysli 2Df C15oxyell 25 <br /> CAIEDB CAIEDB <br /> STR040518454 CPT8-21 SO 05/14104 1 0 6 Low Level TPx/E_C BTxE1GAs BTxFJGAs <br /> 1315 McOWEtOH 05oxy511 251 C soxysll26 ! <br /> __ CA/EDB CAfEDB <br /> 5TRD4051645 48A CPTB 82 AQ 05/14/04 7 0 6 Low Levet ---— -- <br /> , TPH/E C `BTXElGAS BTXFJOAS <br /> 1325 McOH/E10H - iC15xoysll 2D C/sxoysfl 2n <br /> CAIEDB CA/EDB <br /> STR0405184549A! CPT8-31 SO 05114/04 1 0 6 Low Level TPHlE_C BTXFJGAS_ BTX&GAS <br /> 1345 1 McOWDOH 05oxysll 2D, Woxysll 26 <br /> ---` CA/EDB CAIEDB <br /> STRD4D51845 50Ai CPTB-38 AQ 05/14/04 7 0 1 6 L.;--L.,el I TPHIE C i BTXFIGAS BT:6GAS —1355 i McOWE10H I IC/5xoy5n 25 C/5xoys/l 2DI <br /> — CAIEDB _ CAIEDB <br /> STR04051845-51Aj CPTB-48 i SO 05/14/04 1 0 6 Low Le,el TPH/E_C BTXE/GAs_ BTxEC—, sS--, —i <br /> 1415 MCOWEIGH MoxWl2D ClSoxysfl26 <br /> STR04051$45 52AE CPT$-65 AQ 05/14/04 7 0 r 6 <br /> CAIEDB CAIEDB <br /> Low Lesel TPH/E C BTXE/GAS BTXEIGAS_f <br /> 1430 McOWEIOH C/Sxeysli 2D C15xoystl 2DE <br /> CAIEDB CAIEDB <br /> STRD4051845-53A, CPT8-79 AQ 05/14104 6 0 6 Low Level TPH/E C I BTXE/GA5_ BTXElGAS One non <br /> 14 55 MeoH/EioH cr5xoysrl 2D u5xoysn 20I rcvpd broken reserved VOA <br /> CAIEDB CAIEDB <br /> Comments Custody seal Frozen ice Send copy of recei t checklist with final report Some VOA's received broken see Remarks on COC <br /> Signature Print Name Com an <br /> Received by <br /> -2)e::)P,— COMP211y Date/Time <br /> ` S Cc'k Alpha Analytical,Inc <br /> '11'a <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(Sod) 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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