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ARCHIVED REPORTS_XR0002624
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_XR0002624
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Entry Properties
Last modified
2/3/2020 6:25:31 PM
Creation date
2/3/2020 11:22:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002624
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 <br /> CHAIN—OF—CUSTOM RECORD ! i of 2 e <br /> CA g , <br /> Alpha Analytical, Inc. WorkOrder : STR04070248 F <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 , 13-Jul-04 <br /> Stratus Environmental Gown Kowtha SteveCarter <br /> 3330 Cameron Park Drive TEL (530)676-6002 TEL (530)676-6008 <br /> Suite 550 FAX (530)676-6005 FAX (530)676-6005 EDD Required Yes <br /> Cameron Park,CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Gown Kowtha R0 <br /> CC Report Steve Carter Client's CDC# 073$5 Cooler Temp 4 OC <br /> 02-Jul-04 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Alpha ClientRequested Tests <br /> Collection No of Bottles ALCOHOLTPHrE w TrHre w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w I <br /> E Sample Remarks <br /> STR04070248-01A MW-1 �AQ 007 104 f $ 0 6 MtoWEtaH TPWE_C BTXFIGAS Brx>/Gas <br /> ��! I 13TXFJ li 20 3TXEI/i S I ---- I <br /> CISOXY <br /> STR04070245-02Aj MW-2 I — CA/EDB CA/EDB <br /> i AQ 06I29I04 7 0 6 j€ MekA1ft:IOH TPHIE C BTXE/GAS—�BTXEIGAS_ —�- <br /> 06 35 I CISoxys/I 2D C/5oxys/F 2D f <br /> STR04070248-03A MW-3 i AQ 06/29/04 $ p CA/ED11 CA/EDH <br /> _ 06 D3 6 Me0WEtOH TPWE C BTXElGAS BTXE7GAS i <br /> ___ 05axys/l 26 ClSoxysil 2D i <br /> STR04070248-04A MW-4 CA/EDB CAlEDB <br /> I`— AQ 06/29/04 $ O 6 McOH/EtOH TPWE_C BTXEIGAS BTXE/GAS --- <br /> 0503 Cr50xy31126 a50xysrl 25 <br /> STR04D70248-05A� MW-5 j AQ 06/29/04 g 0 cA/EDB CA/EDD <br /> r D5 40 I 6 Me0H/E10H TPWE_C BTXFIGAS_ BTXEIGAS_ ! , <br /> _ _ GSCox DD D ClCAIEDIB D <br /> STR0407D248 06A1 MW-6 W ! A 6Q 0 21 9104 8 0 <br /> {r 05 24 r I 6 McOH1EtOH TPWE_C DTXP�GAS_ BTXEIGAS ! <br /> __ C150xys/l 2D Cl5oxys/1 25 <br /> STR04070248-07AI MWO-1x AQ 06!29!04 $ 0 CAIEDB CA>EDB <br /> 6 McOHlEtOH TPHI6_C BTXFJGAS_ DTXE/GA$_ <br /> {16 51 ! C150xys/1 213 C/Soxys/l 2D <br /> STR04070248-08A MWO-1 AQ 06/29/04 I 8 0 I carEDB cArEnB !E <br /> 6 McOHrUGH TPWE_C BTXEIGAS BTXFJGAS <br /> 09 51 I Cl5axy9Ii 26 C/5oxy j126 i <br /> STRD407D248-09A MWO-2 A CA/EDU CA/EDB <br /> Q 06!29104 $ 0 6 McOHlEIOH TPH E_C BThElGAS_ BTXE/GAS I <br /> 1019 1 C/Soxys/F 2D G5oxys/1 25 E <br /> CA/EDB CAIED13 E r <br /> Comments Custody seal Frozen Ice EDF Send copy orrecel t checklist with final report One non reservcd VOA for MW-2 received broken <br /> Received by <br /> Signature i Print Name <br /> r Company Date/Time <br /> � , <br /> Alpha Analytical,Inch <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 clFent 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(Drinking Water) OT(Other) Bottle Type L-liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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