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ARCHIVED REPORTS_XR0003858
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LODI
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003858
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Entry Properties
Last modified
3/5/2020 5:29:29 PM
Creation date
3/5/2020 4:39:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003858
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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I � ' <br /> Billing fnfarmation - � Page: <br /> RECORD ,o <br /> CHAIN-OF-CUSTODY „ <br /> Alpha Analytical, Inc. WorkOrder : STRO504062.1 <br /> 255 Glendale Avenue.Suite 21 Sparks,Nevada 89431-5778 j <br /> --� i_@L:{T75}355-1044 rax:(77s)3ss-04ttb -� E Report Due By : 5:00 PM On : 14-Apr--05 <br /> Ghent: Gowri Kowtha- — <br /> Stralus Environmental I TEL: (530)676-6002 x <br /> 3330 Cameron Park Drive <br /> FAX: (530)676-6005 EDD Required : Yes PDF Required : No <br /> Suite 550 stratusinc.net kowtha EMail <br /> � gkowtha@stcatusinc.net Sampled b}':D.Foland <br /> Cameron Park,CA 95682-8861 -- - - - <br /> Report Attention: Gowri Kowtha Job: 2007-0065-011 USA 65 Cooler Temp: 4°C 06-Apr-05 <br /> CC Report: PO: Client's COC#: 06021 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPWP_A VOC_A <br /> Sample ID Sample ID. Matrix Date QRG SUB TAT PWS# ---i Sample Remarks <br /> STR0504tf621 01A T Inf ' AR �4l05105 1 I 0 - ti - - I - - —- <br /> 'Bl;N&GAS/ 31 XEICA5/ <br /> 09:45 i Soxys_C soz}s_C <br /> STR05040621-02A C Inf AR 04105/05 1 0 6 el:xZ�GAS/ BTXVGAS/ ? <br /> i 09:50 I E 5Qxn c sox C ! <br /> M <br /> Comments: Security seals intact ice frozen.Ca sam les.Coe was split into two work orders clue to difference in tat rc aired.Send copy of receipt checklist with Gnat rcpon_:- <br /> h <br /> Signature Print Name i Company 1 batelfime T� <br /> - - - _ - - <br /> Received by Alpha Analytical,Inc- LAt ' <br /> AmmNOTE-. 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-f lastic OT-Other <br /> I <br />
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