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ARCHIVED REPORTS_XR0003829
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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2500
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003829
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Entry Properties
Last modified
3/5/2020 6:34:21 PM
Creation date
3/5/2020 4:29:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003829
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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I; <br /> Billing lnformatton : CHAIN-OF-CUSTODY RECORD <br /> ORD *page: <br /> 1of1 <br /> Alpha Analytical, Inc. WorkOrder : STR02081423 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: L -- — TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM On : 21-Aug-02 <br /> Client: -- — <br /> Stratus Environmental Gowri Kowtha <br /> 3330 Cameron Park Drive TEL: (530)676-6002 .EDD Required : Yes <br /> Suite 550 FAX: (530)676-6005 <br /> ----- Sampled by:C. Hill <br /> Cameron lark,CA 95682-8861 Job: 2007-0651USA 65 <br /> Report Attention: Gowri Kowtha PO: Client's COC#: none Cooler Temp: 4 OC 14-Aug-02 <br /> CC Report: <br /> QC Level X8'3 = Final Rpt, With Surrog C "-rf t9 --- <br /> _.r._ Requested Tests----------�----. <br /> Alpha Client Collection No.of Bottles <br /> TP' <br /> voC-A <br /> Sample ID Sample 1D Matrix Date ORG SUB TAT PWS# s I Sample Remarks <br /> STR02081423-01A Inf Total Air f AR 08 1 0 5 BTxE.'GAsr�BrXElGA5/M�b <br /> Tedlar <br /> /12/02 _ I <br /> -- I 12:32 - Mi6c ` <br /> STR02081423-62A Inf---- Cat Air: AR 08/12/02 1 0 5 sT Mtbc M�bc Tedlar --— <br /> - ----- --I----� 12:34 -�- ---��TMihc � <br /> STR02081423-03A Eff Air AR 08112/02 1 0 5 BTxE7GA5!jBTXElGA51 Tedlar <br /> 12:30 M,bc Mtbe E <br /> Comments: Securi seals intact ice frozen.Catifomia sam les.Sam les were ut on 5 da tat.Sam les should have been received esterda so a da was taken off from tat.Send co of recei t checklist <br /> with final report. <br /> _ ---- _. Signature Print Name - L—Company-- Date/Time <br /> Received b 7 / y �p Alpha Analytical,Inc. <br /> I <br /> NOTE: Samples are discarded 60 days atter 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-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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