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ARCHIVED REPORTS_XR0003825
Environmental Health - Public
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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_XR0003825
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Entry Properties
Last modified
3/5/2020 6:05:53 PM
Creation date
3/5/2020 4:23:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003825
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
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EHD - Public
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Billing in tion: U <br /> CHAIN-OF-CU <br /> SY RECORD R S HA Page: <br /> �A 10I <br /> i , <br /> a Alpha Analytical, Inc. WorkOrder : STR04102102 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: TEL:(775)355-1044 PAX:(775)355-0406 ] Report Due By : 5:00 PM On : 21-Oct-04 <br /> Stratus Environmental li� Gowri Kowlha <br /> 3330 Cameron Park Drive TEL: (530)676-6002 <br /> Suite 550 ! FAX: (530)676-6005 EDD Requited : Yes <br /> Cameron Park,CA 95682-8861 Job: 2007-0065/USA 65 Sampled by:C.Hill <br /> Report Attention : Gowri Kowtha PO: Client's COC#: 08376 Cooler Temp: NA IC <br /> CC Report: __� 21-Oct-04 <br /> QC Level: S3 Final Rpt,MBLK,LCS,MSIMSD With Surrogates <br /> --- - 1� Requested Torts -�----� <br /> Alpha Client Collection No.of Battles TPH/P_A Van. <br /> Sample ID Sample 1D Matrix Date ORO SUB TAT PWS# Sample Remarks <br /> STR04102102-01 IiVF AIR AR 10/20/04 ns <br /> 1 0 1 n"rxe�ans erx o <br /> f 10:59 CNTBF_I gMTBE- 7EDLAR <br /> STR04102102-02A SYS INF AIR AR 10/20/04 1 0 1 HrXMAs srxFraAs_ <br /> 10:57 GtaTBE� grrrBE TEDLAR� <br /> STRO4102102-03A EFF AIR AR 10/20/04 1 0 1 MEraAs_I aT WAs_ <br /> 10:55 antras QMTBe TEDLAR <br /> 1 <br /> I <br /> III <br /> it <br /> 11 <br /> {i <br /> I <br /> Comments: Frozen ice.Security seals, Send copy of receipt checklist with final report.: <br /> i <br /> - ----- --- - i _- -�_gnature -- -f-- Print Name Comm <br /> pay <br /> [Received <br /> P Y by: Alpha Analytical,Inc. <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: AO(Aqueous),I AR(Alr) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> i <br /> n <br />
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