My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002625
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HARLAN
>
15600
>
3500 - Local Oversight Program
>
PR0545273
>
ARCHIVED REPORTS_XR0002625
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/3/2020 6:37:40 PM
Creation date
2/3/2020 11:23:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002625
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
47
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
y <br /> Billing Informati CHAIN-OF-CUSTO* RECORDage <br /> CA 1 of 2 <br /> Alpha Analytical, Inc. WorkOrder : STR04030847 <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 : 16-Mar-04 <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Gown Kowtha PO Client's COC#! 3295 Cooler Temp 4°C 08-Mar-04 <br /> CC Report <br /> QC Level S3 = Final Rpt MBLK,LCS MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOLw _ TPHIE_w TPHIP_w voc_w <br /> � <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR04030847-01 A' MW-1 AQ 03104/04 8 0 6 _ Low Level TPHIE_C BI XE/GAS_ BTXEIGAS <br /> 0724 MeowElOH C/5oxys/l 2D 0/*xWl 2D <br /> CAIEDB CAIEDB <br /> STR04030847-02A' MW-2 �' AQ 03104/04 8 0 6 Low Lnel TPH/E_C BTXE/GAS I BTXEIGAS <br /> 0640 Me0H1UGH Cl5oxysfl 2n C15uxysll 20 <br /> CAIEDB CAIEDB <br /> STR04030847-03A MW-3 AQ 03/04/04 ' 8 0 6 Lou Leel TPHIE C BTXE/GAs BTXEIGAS_ <br /> 0620 MeolUEtOH C15oxys/l 2D ClSoxysll 2D <br /> CAIEDB CAIEDB <br /> STRG4030847-04A1 MW-4 AQ 03/04/04 8 0 6 Low Lc e3 TPHIE_C MUGAS BTXVGAS <br /> 0515 MtOHIE(OH 05oxysll 2D C15oxysll 2D I <br /> CAIEDB CAIEDB <br /> STRG4030847-05A MW-5 AQ 03/04/04 8 0 6 Low Level TPHIE_C BTXEIG4S_ BTXEIGAS_ — <br /> 05 53 McOHIEtaH C/5oxysll 2D Cl5oxysli 2D <br /> CAI6D8 CAIEDB <br /> STR04030847-06A� MW-6 AQ 03/04/04 1 8 0 6 Lo,Le%el TPHIE_C BTXE/GAS BTXEIGAs — <br /> i <br /> 05 35 McOH)EtOH L15oxysll 2D C/%xysll 2D <br /> CAIEDB CAIEDB <br /> STR04030847-07A, MWO-1 X JAQ 03/04/04 8 0 6 Low Leel TPHIE_C BTXE/GAS BTXEIGAS0658 Me0WE10H 05oxysil 2D 05oxysll 217 <br /> _ CA/808 CAIEDB <br /> STR04030847-08A MWO-1 AQ 03104!04 1 8 0 6 LowL-, TPHIE_C BTXFIGAS I BTXFIGAS <br /> 0847 McOWBOH Clsoxysll 25105uxysl1 25 <br /> CAIEDB CAIEDB <br /> STR04030847-09A1 MWO-2 AQ 03/04/04 , 8 0 6 Low Le,el TPHIE_C BTXEIGAS— BTXEIGAS- <br /> 08 255 McOWROH 05oxysil 2D ClSoxysll 21) <br /> CAIEDB CAIEDB <br /> Comments No custody_seal Erozen_ice Samples delivered 315104 late evening by Alpha couner samples kept cold&secure until log-in 318104 MW-6 has one VOA labeled as MW 4,sampled times match for <br /> MW-6&5 VOA's far MW-4 samples received_Send cony of receipt checklist with final report <br /> Signature Print Name Compan} Date/Time <br /> R _ � <br /> Received by ,} �iC "�� f �1"J��- i �! 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(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sail Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
The URL can be used to link to this page
Your browser does not support the video tag.