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ARCHIVED REPORTS_XR0003857
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_XR0003857
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Entry Properties
Last modified
3/5/2020 6:11:27 PM
Creation date
3/5/2020 4:38:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003857
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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r <br /> I <br /> Billing Info*: CHAIN-OF-CUSTAY RECO" Page: 407 <br /> - - CA <br /> Alpha Analytical, Inc, WorkOrder : STR05102131 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 _ Report Due By : 5:00 PM On : 31-Oct-05 <br /> Client: Gowri Kowlha <br /> I Stratus Environmental TEL; (530)676-6001 x I <br /> 3330 Cameron Park Drive <br /> Suite 550 I FAX: (530)676-6005 EDD Required . Yes <br /> Suit ; EMail: gkowtha@stratusinc.net <br /> Cameron Park,CA 95682-8861 - --------- Sampled by:Vince Zalutka <br /> Report Attention : Gowri Kowtha Job: 2007-065-011 USA 65 Cooler Temp : 40C Date Printed: <br /> CC Report: PO: Client's COC#: none 21-Oct-05 <br /> QC Level-. S3 = Final Rpt,MBLK,LCS, MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles ALCOHOL_ TPH1P_W VOC_W F j <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# w <br /> - -- -- -- -- -- -- -----—`---- - - �-_- _ Sample Remarks <br /> STR05102131-01A' MW-1 AQ 10/20/05 5 0 6 _ McOH BrxE.cas BrxEcnsi <br /> 08:01 EtOH 5ox5s_C 5oxy5-C { <br /> STR05102131-02A. MW-2 AQ 10/20/05 5 0 6 M00H BTXE-GAS? BTXF,GASI -- <br /> 07:31 EtOH 50xys_C 5oxys_C i <br /> STRO5102131-03A, MW-3 AQ i 10/20/05 I 5 0 6 McOH r BTXE-GAS, BTxEIGASI <br /> 09:51 EtOH Saxys_C Soxys_C , <br /> STR05102131-04A: MW-4 AQ 10/20/05 5 0 6- - —--MeOH; BTXE Gns BTCE.Gnsl <br /> 10:31I EtOH Soxys_C 50xys_C I I <br /> i <br /> STR05102131-05AI MW-6 AQ 10/20/05 5 0 6 WOH: BTXE,GASI:BTxe!GASr i <br /> 10:57 EtOH 5oxys_C 50xys_C <br /> STR05102131-06A: MW-7 AQ T 10/20/05 5 0 6 MeoHr BTUGO BTX ZAS - <br /> 11:21 I —EtOH 5ox}s_C 5oxys_C�----I <br /> STR05102131-07A MW-8 AQ 10/20/05 ` 5 0 6 McOH I BTXE-GAS, BTxB:GAs1 - <br /> 08:51 I EtOH Soxys_C 50xys_C E <br /> STR05102131-08A MW-9 AQ 10/20/05 5 0 6 WOO, BTXE,GAS, srxECAsi:_ T <br /> 09:10 EtOH 50xys_C 5o.xys—C <br /> STR05102131-09A MW-10 AQ 10/20/05 5 0 6 MeoH BTXE•GAS; gTXF GAS1 <br /> 09:27 I EtOH 50xys_C 501ys_C I E <br /> STRO5102131-10A S-2 AQ 10/20/05 5 0 6 McOH, BTXE GAS, BTxE,GASI <br /> 06.53 Et9H 50xys-c 5oxys_C <br /> Comments: Security seals intact,ire frozen.Ca samples.Send copy of receipt checklist with final report <br /> Signature Print Name Company Dateime <br /> Logged in by: _ �C>Cp3C'S �' j�/ — Alpha Analytical,Inc. 4v(/� �. <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-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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