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ARCHIVED REPORTS_XR0003915
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0003915
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Entry Properties
Last modified
3/5/2020 5:51:07 PM
Creation date
3/5/2020 4:52:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003915
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 Information. : <br /> CHAIN—OF—CUSTODY � i=: t �., �- .� 'r. <br /> RECORD ;N Page: <br /> Iof2 <br /> 0 Alpha Analytical, Inc. <br /> �- .—j 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 WorkOrder STR00092560 <br /> Client: ;1 ('��. 1 ; TEL:(775)355-1044 FAX:(775)355-0406 <br /> Stratus Environmental ! Report Due By : 5:00 PM On : 29-Sep-00 <br /> Company Phone/Fax Secondary PhonelFax <br /> 3330 Cameron Park Drive TEL: (530)676-6001 TEL: (530)676-6001 <br /> Suite 550 EDD Required :No <br /> FAX: (530)676-6405 FAX: (534)676-6005 <br /> Cameron Park,CA 95682-8861 Job : USA#65 Sampled by:Hal Hanson <br /> Report Attention : Gowri Kowtha PO <br /> Client's COC#: none Cooler Temp: 4'C 26-Sep-00 <br /> QC Level: S4 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> Alpha Client Requested Tesis <br /> Collection TPH1PW <br /> voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS## <br /> STR00092560-01A AQ 4 { ¢ Sample Remarks 09/22/00 T <br /> 10:30 5 oxys oxys <br /> STR00092560-02A MW-2 AQ 09/22/00 4 0. 4 BTXEJGAS/eTx�GAsrs" <br /> 10:45 s oxys oxys <br /> STR00092560-03A MW-3 AQ 09/22/00 4 0 4 BTXVGAsrIBTx&GAsrs <br /> 13:35 s oxys oxys <br /> STR00492560 04A MW 4 AQ 09/22/00 4 D 4 BTxE/Gns1 aTxP�GAs/s <br /> 11:57 s oxys oxys <br /> STR04092560-05A MW-6 AQ 09/22/00 4 0 4 BrxBGas1 BTXWGAs15 <br /> 11:,43 s oxys I oxys <br /> STR00092560-06A MW-7 AQ 09/22/00 4 0 4 BTXEJGAS1IBTXVGAsr5 <br /> 11:24 5 oxys oxys <br /> STR04092560-07A MW-8 AQ 09/22/00 4 0 4 HrxelGAs/BrxErGAsrs <br /> 13:53 5 oxys oxys <br /> STROD09256D-0$A MW-10 AQ 09/22/00 4 0 4 BrxO GAS/BTXO GAs1s <br /> 13:16 s axys oxys <br /> Comments: CA.Sam le.Real ice frozen.Security seats intact.Did not receive sample#M1N-9 contacted Edana on 9/25100 and faxed her a copy of the chain.Samples will be sent out today 9/25/00 per <br /> Edana.TDD Received missin sam les MW-9 on 9/26/00. <br /> Signature Print Name <br /> Company t}ate/'fimc <br /> FR <br /> hed by: f <br /> by: <br /> .� � .-�[ ���. <br /> hed'Uy: <br /> Received by: <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(Olher) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Pias" T-Other <br />
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