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ARCHIVED REPORTS_XR0003846
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_XR0003846
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Entry Properties
Last modified
3/5/2020 5:45:22 PM
Creation date
3/5/2020 4:34:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003846
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 Infon0n CHAIN—OF—CUSICY RECORD US 1-�!� Page <br /> loft <br /> - CA _ <br /> Alpha Analytical, Inc. � WorkOrder : STR05020901 <br /> 255 Glendale Avenue Suite 21 Sparks,Nevada 89431-5778 <br /> Client - <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By • 5 00 PM On 09-Feb-05 <br /> -- - --- -I__ —_-- <br /> Stratus Environmental <br /> Kowtha <br /> ronmental TEL (530)676-6002 <br /> 3330 <br /> Suite 550 exon Park Drive FAX (530)676-6005 EDD Required Yes PDF Required No <br /> Cameron Park,CA 95682-$861 EMad gkowtha@stratusmc net Sampled by C Hill <br /> Report Attention Gown Kowtha Job USA 65 Cooler Temp na'C- <br /> CC Report PO Client's COG# 05437 09-Feb-05 <br /> QC Level S3 = Final Rpt MBLK LCS MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPH/rP A voc A <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# � i <br /> - —�__ I Sample Remarks <br /> STR05020901 01A EFF Air AR 02108/05 1 f 0 1 I BTXFJGAS_I aTxEJGAS_ �- Tedlar <br /> 0548 l CfMtbi , c/Mix i <br /> Comments Samples picked up by Alpha employee-no ice needed 24hr TAT W O split due to different TATs on chain,see also 05020902 Global ID T0607700068 <br /> Signature Print Name <br /> -- _ �- Compam Date/Time <br /> Received by - -_ n,, , Alpha Anahhcal,Inc 2),,(1ps -K a) <br /> MOTE 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 AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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