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ARCHIVED REPORTS_XR0003914
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LODI
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2500
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003914
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Entry Properties
Last modified
3/5/2020 5:46:25 PM
Creation date
3/5/2020 4:51:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003914
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 Infor,Wat1.n: �. .�.,. Alpha Analytical, Inc. JJ j <br /> Name Ct a t+I9prt r�FAiE�E�� 255 Glendale Avenue,Suite 21 Page#_-.__L�_of <br /> Address 33Q r,-4nepm4W40-. XoJ 432P Sparks,Nevada 89431-5778 <br /> City,State,ZjP C46-M.% J- aZ Phone (775)955-1044 <br /> A <br /> Fax (775)355-1}406 ) Analyses Required <br /> Nambe '�,(6�TL <br /> Client Karns ^Lr� Fax Gri�LOa.s <br /> c/T P.0.1F J06 7, l <br /> V .0 <br /> Address / PWS# DWR# <br /> ftio i <br /> City,State,ZIP Phone It Fax# <br /> Trane Date mft* Me Use Sampled by RepartAtlatian Totdlandlypeof <br /> Sampled Sampled See Key anty I containers Q <br /> Maw Lab ID Number Sampleoescdption "Seebefow REMARKS <br /> veyo �lzt p]- 60 Z -D <br /> DT 03 1 <br /> ADDITIONAL.INSTRUCTIONS: <br /> Signature Print Name Company Date Time <br /> Relinquished by <br /> g. <br /> Received by M. r�Y1�EliiLi�Vl{] rii ALvPJ4A, Ari "t TCL�� qtr, <br /> z'S-Z!—or.> fo44O <br /> Relinquished by <br /> Received by tf !��✓! VfA2k 0,0 /�ZO <br /> Relinquished by <br /> Received by <br /> • 'Key AQ-Aqueous SO-Soil WA-Waste OT-Other ", L-Liter V-Voa S-Soil Jar O.Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE. Samples are discarded 66 days after results are reported unless other arrangements are made. ous samples will be returned to client or disposed of atclient expense. The repor�e analysis <br /> ,�of the,above s s is applicable only to those samples received by the laboratory with this coc. The v of the laboratory is limited to the amnirnt n;;iri fnr tha mnrnrt <br />
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