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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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Billing Into Stratus Environmental Global ID; T0607700068 <br /> alrr7 <br />� <br /> Mg. 3330 Cameron Park Rrive EDF: YES 'a/ Alpha Analytical, Inc. - <br /> City,State,Zip: Cameron Park,CA 9$657 Project# 2007-065-01 �4 f s <br /> 255 Glendale Avenue <br /> I <br /> Fax: 530-67fi-6005 Phone: 530.676-6001 Email: Suite 21 <br /> Report Attention:Gowd Kowtha rJ Sparks, NV $9431 <br /> Client: USA 65 Sampled 13y:Vince Zalutka ?R�� `tea (775)355-1044 <br /> Address: 2500 West Lodi Ave. °nrrte101 <br /> (775)355-4406 Fax <br /> City,State,Zip: - Lodi,CA Paw# 1 of 1 <br /> Analysis Requested <br /> TAT <br /> l� <br /> Time Dale ((Working = K L m <br /> c <br /> Sampled Sampled Matrix Lab ID(For Lab Use ONLY) Sam le Description Containers Days) O '9 wRemarks <br /> CgG ,o20rzoos AQ I _ Q MW-1 HCL VOA's STD X X I X X I X <br /> O 73( torz°rzoas AQ MW-2 HCL VOA's sro X T" " X X <br /> 0 951 ionaaO0s AQ <br /> MW-3 HCL VOA's STD X X <br /> 10-3 '°rwoos AQ MW-4 HCL VOA's STD X X X <br /> OS iwmoo5 AQ MW-6 NCL VOA's STD X X X <br /> I z arz <br /> r°rzoos AQ MW-7 HCL VOA's sT0 X X X <br /> C7 iwaa o5 AQ MW-8 MCL VOA's sro X X X X X <br /> 0 �orzonoos AQ MW-9 HCLVOA's sro I X X X X X <br /> Z rorzoimm AQ MW-10 HCLVOA's sro X _xlx N� X X <br /> o lis <br /> O(GS imawo5 AQ !d S-2 HCL VOA's 5V X XX X X <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Company Date Time <br /> Relin wishedVincent Zalutka Stratus Environmental )o- oZfl—'JJ 3lj <br /> Received by: Lj5q MA, LP}'.q C)'3�7 <br /> Relin uished by: <br /> Received by! <br /> Relinquished by: <br /> Received by: <br /> Key: AQ-Aqueous WA-Waste OT-Other L-Liter V-VOA S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE: Samples are discarded 60 days after sample receipt unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. The report far the analysis of the above samp4es is <br /> 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 />
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