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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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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_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
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SJGOV\sballwahn
Tags
EHD - Public
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Billing InfCon RECORD Page <br /> CHAIN—OF—CUSADY • <br /> -- - -- --- CA <br /> iofl <br /> E Alpha Analytical, Inc. WorkOrder : STRO5020902 <br /> 255 Glendale Avenue Suite 21 Sparks Nevada 89431 5778 <br /> TEL (775)355-1044 FAX (775)355-0406 ] y <br /> Client ReportDueB 5.00 PM On . 17-Feb-05 <br /> --W - - - -�---� <br /> Gown Kowtha <br /> Stratus Environmental TSL (530)676-6002 <br /> 3330 Cameron Park Drive <br /> Suite 550 FAX (530)676-6005 i EDD Required Yes PDF Required No <br /> Entail gkawtha@stratusmc net I <br /> Cameron Park CA 95682-8861 - _ J Sampled by C Hill <br /> Report Attention Gown Kowtha Job USA 65 <br /> Cooler Temp 4°C 09_FCtl_0$ <br /> CC Report PO Client's COC# 05437 <br /> OC Level S3 = Final Rpt MBLK LCS MS/MSD With Surrogates <br /> a Requested Tests ' <br /> Alpha Client Collection No of Bottles TPHIP-A I VOc_n I <br /> I <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# I <br /> I Sample Remarks <br /> STR05020902-01Ai—INF Air AR 02/08/05 1 I 0 6 �I BTXUGAS BTXEIGAS_ Tedlar l <br /> I 0552 CJMik C(Mtk <br /> STR05020902-02A SYS INF Air AR 02/08/05 1 0 6 BTXEIGAS_ BTXE/GAS_ Tedlar <br /> — -- — 05 50 at n� anainc i I <br /> Comments Samples picked up by Alpha employee frozen ice W O split due to different TATs on chain,see_also 05020901 Global ID T0607700068 <br /> Signature--- - -Print Name <br /> i Company DatefTime i <br /> Received by --_— - API i�'{Y�C� _— - 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 analysts 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 /> Matnx Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-titer V-Voa S-Soil Jar O-Orbo T-Tedlar 3-Brass P-Plastic OT-Other <br />
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