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ARCHIVED REPORTS_XR0003826
Environmental Health - Public
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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_XR0003826
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Entry Properties
Last modified
3/5/2020 5:34:19 PM
Creation date
3/5/2020 4:24:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003826
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 InformaPlon. Page: <br /> CHAIN-OF-CUSTODY RECORD <br /> CA 10f, g <br /> Alpha Analytical, Inc. WorkOrder : STR03072924 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> i TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 YM On : 06-Aug-03 <br /> Client: — <br /> Stratus Environmental Gowri Kowtha <br /> 3330 Cameron Park Drive TEL. (530)676-6002 EDD Required : Yes <br /> Suite 550 FAX: (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job: USA 65 Sampled by:Mike Cornewell <br /> Report Attention : Gowri Kowtha PO: Client's COC#: none Cooler Temp: 4 OC.. 29-Jut-03 <br /> CC Report: .--_- - <br /> QC Level: S3 = Final Rpt,MBLK, LCS,MSIMSD With Surrogates <br /> f Requested Tests17 <br /> ----- --- -----._.------- - -- - --- <br /> Alpha Client Collection No.of Bottles TP01p_w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR03072924-01A MW-1 AQ 07128/03 5 0 6 BTXBIGAsr BTxa1GAV <br /> 05:56 50xys—C 50xy5—C <br /> STRO3072924-02A MW-2 AQ 07/28/03 5 0 6 BTXWGA$/ BTXFIGA$/ i <br /> 05:30 50xys_C 50xys_C <br /> STR03072924-03A MW-3 AQ 1 07/28/03 1 5 0 6 BTxEIGAsf IBTXFaoasi <br /> 06.20 5oxys_C 5oxys—C <br /> STR03072924-04A MW-4 AQ 07/28/03 5 0 6 BTXEIGAS/IBTXE/GA51 <br /> 06:42 50xys_C 50xys—C <br /> STR03072924-05A MW-6 AQ 07/28/03 5 BTXE1GA5/ BTXElGA5 <br /> 0 6 — - - - - - — <br /> 1 <br /> 06:59 soxys_C 50xys C <br /> STR03072924-06A MW-7 AQ 07128/03 5 0 6 BTXE/GAsr BTXE/GAS! <br /> i 07:21 soxys_c soxys_c <br /> STRO3072924-07A MW-8 AQ 1 07/28/03 1 5 1 0 1 6 1 BTXaIGAs!I BTxFIGASr <br /> 08:08 50xys—c soxys—C I <br /> III <br /> II <br /> I� <br /> it <br /> Comments: Aloha Employee delivered samples.Ice frozen.California samytes.Send copy of receipt checklist with final report.Global ID#T0607700068. <br /> Signature Print Name Company Dat7-1�-5-- <br /> c Y <br /> ` Received by: Alpha Analytical,Inc. ���9��NOTE: <br /> 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 COG.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Wasle) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> 11 <br />
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