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ARCHIVED REPORTS_XR0003853
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003853
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Entry Properties
Last modified
3/5/2020 5:53:46 PM
Creation date
3/5/2020 4:36:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003853
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� ' Billing Informati _ _ 'Cal ge. <br /> CHAIN OF CUSTOT� �' RECORD <br /> CA 1 0f l <br /> -.Alpha Analytical;Inc. - '-WorkOrder : STR04041240 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: TEL:(775)355-1044 FAX:(775)355-0405 Report Due By : 5:00 PM On : 20-Apr-04 <br /> i Stratus Environmental_ _ Gowri Kowtha_ <br /> 3330 Cameron Park Drive TEL: (530)676-6002 EDD Required : Ycs <br /> Suite 550 FAX: (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job: USA 65 Sampled by: Mike <br /> Report Attention : Gowri Kowtha PO: Client's COC#: 07363 Cooler Temp: 4°C 12-Apr-04 <br /> CC Report: <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> I Alpha Client Collection No.of Bottles ALCOHOL_ TPH1P_W voc_w <br /> W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> Sample Remarks <br /> STR04041240-OIAi MW-1 5:33 ' AQ 04/06/04 5 0T 6 McOHIE10H BTXFIGAS_ BTxFIGAS_ -- I - ---- ---- <br /> 00:00 05oxys Clsoxys <br /> STR04041240-02A MW-2 - ; AQ 04/06/04 II 5 0 6 McOWF10H BTXE/GAS_ aTxE/GAS_ <br /> 05:12 I Cl5oxys 050xys <br /> STR04041240 03A MW-3 AQ 04106/04 5 0 16 i McOWE10H BTXFIGAS_ BTXE/GAS_ <br /> 06:33 I Q%Xys Cl5oxys j <br /> STR04041240-04A MW-4 AQ 04/06/04 5 0 j 6 W01VE10H BrxeaGAs_ erXl=rGns_� <br /> 06:57 ! Cl5oxys Cl5oxys -^ - - - - -- <br /> STR04041240-05A MW-6 AQ 04/06/04 5 0 6 McOH/EtOH <br /> BTXE/GAS13TXFIGAS_ [ <br /> 07a6 C15oz s C150xYs <br /> ------ --- <br /> G <br /> STR04041240-06Ai MW-7 j AQ 04/06104 5 0 f 6 McOtt EtOH BTXFJGAS erxEtGAs -- —- <br /> _ 07:42 05oxys- Cl5oxys <br /> i <br /> STR04041240-07A MW-6 i AQ 04/06/04 5 0 i 6 McOFUROH BTXUGAS_ BTx8/GAs <br /> 04:39 Cl5oxys Cl50xys <br /> STR04041240-OBA! MW-9 AQ 04/06/04 I 5 0 6 McoWFIaH BTxEGns_ BTXErGAs_ - <br /> _ _ 05:55 Cl50xys crsoxys <br /> STR04041240-09AI MW-10 AQ 04J06/04�5 0 6 McOHiEtOH arxE?GAs_ BTxE cns��— - <br /> 05,11 C/Scxys CISaxys <br /> E <br /> 13TR04041240-1OAI 5-2 AQ 04/06/04 5 0 6 McOWEIOH BTXF/(iAS BTXEIGAS <br /> j04:49 Csoxys C15oxy3- <br /> Comments: Custody seal.Frozen ice.EDF,Global 1D-'I'0607700068.Send copy of receipt checklist with final report.Samples received 4110/04 samples kept cold&secure until log-in 4/12/04.: <br /> Signature ! Print Name Company <br /> - P y Date/Time <br /> Received by: -.)t Alpha Analytical,Inc. {1 i 6L{ >"7 <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) Battle Type: L-titer V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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