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ARCHIVED REPORTS_XR0003840
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003840
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Entry Properties
Last modified
3/5/2020 5:19:59 PM
Creation date
3/5/2020 4:32:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003840
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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EHD - Public
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Billing Inform* n r <br /> CHAIN-OF-GUSTO RECORD Page: <br /> of 1 <br /> Alpha Analytical, Inc. WorkOrder : STRO1050864 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: TEL:(775)355-1044 FAX:(775)355-0406 <br /> Stratus Environmental --1 Report Due By : 5:00 PM On : 16-May-01 <br /> Company Phone/Fax Secondary Phone/Fax <br /> 3330 Cameron Park Drive TEL: (530)676-6001 TEL: (530)1 6002 <br /> Suite 550 TEDD Required . No <br /> FAX: (530)676-6005 FAX: 530 676-6005 <br /> Cameron Park, CA 35682-8861. Jab: USA 65 <br /> Sampled by:C.Hill <br /> Report Attention: Gowri Kowiha PO: Client's COC#: none Cooler Temp: 4°C 08-May-01 <br /> CC Report: y- <br /> QC Level: S3 = Final Rpt, MBLK,LCS, MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPHIY_A — <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> Sample Remarks <br /> STR01050864-01A Inf Total Air AR] 05/07/01 1 0 6 GAS-NIC I BTEx�M Tedlar Bag. <br /> 08:3[) -�� � �_..�.�.. � <br /> STRO1050864-02A lnf Cat Air AR 05/07/01 1 D b I GAS-NIC BTMM Tedlar Bag, <br /> 08:28 I <br /> STRO1050864-03A Eff Air AR 05/07/01 1 0 6 GAS-NIC BTexrnr <br /> 08:25 Tedlar Bag. <br /> i <br /> i <br /> I . <br /> Comments: Ca-11121c.Real ice frozen.Secunty seals intact. <br /> Sl��iature P,int Name L I _ <br /> -- — --- --- —_ ..__- ----- ---- Company 1 Datc£i'imc <br /> licceived by: e � _.__.1�----- ------ ------ <br /> Alpha Analytical,Inc. <br /> NOTE: Samples are discard 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(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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