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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
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SJGOV\sballwahn
Tags
EHD - Public
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Billing Info: CHAIN-OF-CUSTAY RECORD <br /> �page: �f i <br /> AI C <br /> Alpha Analytical, Inc. • <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 WorkQrder : STR05051201 <br /> Client: TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 YM On : 12-May-05 <br />! Gowri Kowtha <br /> Stratus Environmental TEL: (530)676-6002 x <br /> 3330 Cameron Park Drive <br /> Suite 550 FAX: ( )530 676-6005 <br /> EDD Required : Yes <br />� EMaif gkowtha@stratusinc.net <br /> Cameron Park,CA 95682-8861 Sampled by :D Foland <br /> I <br /> Report Attention: Gowri Kowtha Job: 2007-0065-011USA 65 <br /> CC Report: PO Cooler Temp ; NAIC Date Printed: <br /> Client's COC#: 09654 12-May-05 <br />! QC Level: S3 = Final Rpt, MBLK,LCS,MSIMSD With Surrogates <br /> I <br /> Requested Tests <br /> Alpha Client Collection No,of Bottles TPH/P_A voc_A <br /> Sample 1D Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> 5TR05051201-01A USA 65 A Sys AR 05/11/05 1 0 t gTXErGAS_ BTXFJGAS_ Tedlar <br /> Eff 09:00 c/ox)s C/Oxys <br /> I <br /> Comments: Security seals intact-no ice needed.ASAP TAT Send copy of receipt checklist with final report Global 1D T06U7700M Sam lin times not rovsded on chant.taken 01701 tedlars. <br /> � Signature _ - Print Name <br /> Company P Date/Time <br /> Received by: _ Alpha Analytical,Inc. <br /> NOTE: Samples are discar ed 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or dispnsed 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 reporl. <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Sail Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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