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ARCHIVED REPORTS_XR0003837
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_XR0003837
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Entry Properties
Last modified
3/5/2020 6:26:05 PM
Creation date
3/5/2020 4:32:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003837
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 lnformatian: CHAIN-OF-CUSTODY RECORDPam <br /> 7o(i <br /> Alpha Analytical, Inc. WorkO rde>r : STRO1110670 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> T6L:(775)355-(044 FAX:(775)355-0406 Report Due By : 5:00 PM On : 12-Nov-01 <br /> Client: <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL: (530)676-6002 EDD Required :No <br /> Suite 550 <br /> FAX: 530 676-6005- 3 Sampled 6y:G.Hill <br /> I _ _ ( ) <br /> Cameron Park,CA 95682-8861 Job: 2007.065/Lodi <br /> Report Attention: Gowrf Kowtha PO: Ctient's GOC 9: none Cooler Temp: 4°C 06-Nov-01 <br /> CC Report: <br /> QG Level: S3 = Final Rpt,MBLK LLCS;'M51MSD`W!th`StiTrNafes <br /> 1Requested Tests <br /> Alpha Client collection No.of Bottles TPWP A VOC <br /> Sample Ib Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR0119t1fi70-Q1A INF Total Air AR r19105/09 1 0 GAS•NIC srsw�t Tedfar bag. <br /> STR0111D67D-02A lNF CAT Air AR ii10510i i 1 0 4 GAS-NIC sTuxnK ri - Tedfar - <br /> �� 07:34 I- -- ---�--�- — - <br /> STR01110670-03A EFF Air AR 11/05/01 1 0 4 GAS-1111C BTHXIM Tedlar bag. <br /> 07:30 <br /> Comments: Ca sample.No ice in cooler(ambient temperature).Security seafs intact.: <br /> Signature Print Name t Company I Date(Time <br /> — - - --- <br /> Received by: n� ' Alpha Analytical,ine. <br /> ----------------- <br /> NOTE.- Samples are discard 60 days after results are reported unless other arrangements are made. Hazardous samples will he 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(Other) Bottle Type,, I_-Liter V-Voa S-Soil Jar O-Oft T-Tedfar 8-Brass P-Plastic OT-Other <br />
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