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ARCHIVED REPORTS_XR0002602
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HARLAN
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15600
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3500 - Local Oversight Program
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PR0545273
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ARCHIVED REPORTS_XR0002602
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Entry Properties
Last modified
2/3/2020 6:36:00 PM
Creation date
2/3/2020 11:13:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002602
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Billing Infons i <br /> CHAIN-OF-CUSTODY RECORD �� Page <br /> I of 2 <br /> Alpha Analytical, Inc. WorkOrder .. STR03091741 <br /> 255 Glendale Avenue,Suite 2 l Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355 0406 Report Due By . 5 00 PM On 25-Sep-03 <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676 6002 <br /> Suite 550 FAX (530)676-6005 EDD Requ ied Yes <br /> Cameron Park,CA 95682-8861 Job Joes Truck Stop Sampled by Mike <br /> Report Attention Gown Kowtha PO Client's COC# none Cooler Temp 4°C <br /> CC Report 17-Sep-03 <br /> QC Level S3 = Final Rpt,MBLK LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles ALCOHOL_ TPHIE_W TPHIP W voC_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# W <br /> __ Sample Remarks <br /> STR03091741-01A MW-1 AQ -09115!03 1-8 --- <br /> 0 6 Me0HIE10H TPHIE_C BTXFIGAS_ BTXF/GAS <br /> 08 53 f C/EDa11 2D CIEDB11 2n <br /> CA CA <br /> STR03091741-02Ai MW-2 AQ 09/15/03 3 8 0 6 McOH/EiOH TPHIE_C BTXErcAs_ aTxElcns_ ---- — - — <br /> 08 36 CrEDWI 2D'CEDBII 2D <br /> CA � CA <br /> STRO3091741-03AI MW-3 AQ 09/15/03 8 0 6 McOH1Et0H TPHIE_C BTXCA BTXGAS _ -- — <br /> 08 07 CLDB/1 20 C/EDWI 2D <br /> _ CA CA <br /> STR03091741 04A1 MW-4 AQ 09115103 �8 0 6 McOHIEiOH TPHIE C BTXE/GAs BTXElGAS <br /> 07 50 CIEDBII 2D CIEDM 2D <br /> CA CA <br /> STR03091741-05A' MW-5 AQ 09/15/03 8 0 6 McOHIDOH TPHIE C BTXEfGAS 13TXEIGAs0736 y CIEDBII 2D C/EDB/I 2D <br /> CA CA <br /> STR03091741 06A, MW-6 AQ 09/15/03 8 0 6 MCOHIE10H TPHIE_C� BTXEIGAS BTX£1GAS <br /> O7 22 CIEDBII 21) ClEDB11 2D <br /> CA CA <br /> STR03091741-07A MWO-1X AQ 09115/03 8 0 6� W HIEt0H TPHIE_C BT\EIGAS BTXEIGAS0820 CIEDBII 20 CIEDBII 2D <br /> CA CA <br /> STR03091741-08AI MWO-1 AQ 09/15/03 1 8 0 6 McOHI&OH TPH/E_C BTXUGAs BT`CEIGAS --- ---- <br /> 09 46 MOM 2D CIEDBII 2D <br /> CA CA <br /> STR03091741-09A MWO-2 AQ 09115103 8 0 6 McOH/EtOH TPH1E_C BT\F10As_ BTXE1GAs --r—�- - -0931 CIEDBII 2D CICM1 2D <br /> CA CA <br /> Comments Custody_seal Fiozen ice CA samples EDF ALWAYS send copy of recetut checklist with final repoit <br /> Sign'ttul a Pt int INInie Comp lily 1)itL/f ttpt. <br /> w - ` <br /> Reeeiyedby AlpttlAnalyticil,int <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 1s limited to the amount paid for the report <br /> Matrix Type AO(Aqueous) AR(Air) SO(Soll) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sall Jar O-Orbo T-Tedlar B Brass P-Plastic OT-Other <br />
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