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ARCHIVED REPORTS_XR0003855
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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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_XR0003855
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Entry Properties
Last modified
3/5/2020 6:02:19 PM
Creation date
3/5/2020 4:37:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003855
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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61111ng Infomlallp I! <br /> 1i <br /> CHAIN—OF—CUSTODY V STODY ii11Co" �� Rage . <br /> 1of1 <br /> Alpha Analytical, Inc. WorlcOrdei STR03102342 <br /> 255 Glendale Avenue Since 21 Sparks Nevida 8943 1-5778 <br /> Client TEL (775)355 1044 FAX (775)355-0406 Repot t Due By : S•00 PM On 3]-Oct-03 <br /> Stratus Environmental 1 Gowri Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 <br /> Suite 550 FAX EDD Required Yes <br /> � (530}676-6005 <br /> Cameron Park,CA 95682-8861 Job 2007 0065/USA 65 Sampled by C Hill <br /> Report Attention Gown Kowtt a Pp <br /> Client's COC# 2421 <br /> CC Report I' Coole€Temp NA°C 23-Oct-03 <br /> I: <br /> QC Level S3 = Final Rpt,MBLK LCS MSlMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPH1P_A voc_A <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR03102342-01A INF Air € AR 10/22/03 1 6 6 ,3rx�cas_ arxr�Gns_ -�-�----- -�--__-- - - - ---- <br /> 14 04 a5oxys 05oxys Tedlar bag <br /> i <br /> STR0310234,12 i2p, MID Air i I AR 10/22/03 1 0 6 sTXfJrAs otxUGAs Tedlar bag <br /> I <br /> 1402 05uxy5- cr5oxys- <br /> STR03102342-03A EFF Air AR 10/22103 1 0 6 srxsrcAs_ nrxrlcns_ Tedlar bag <br /> 14 00 05oxys CrsoRys f <br /> III 1 <br /> N <br /> i <br /> II <br /> I <br /> I <br /> Comments Custody seal No ice needed CA Samples.Sendiopy of receipt checklist with final re art <br /> I <br /> i Signature I Pratt Nitne Comp'in) DateFFnne <br /> Recervrd by r -T!` , t _ € <br /> i <br /> - < .y r Alpha Anil)t€cal,Inc <br /> P <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 analysis of the above samples is applicable only to those samples received by the laboratory with this COC The liability of the laboratory 15 Umtted to the amount paid for Ihn report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Sad) WS(Waste) DW(Dnnking Water} OT(Olher) Bottle Type L-Liter V-Voa S-SOLI Jar O-Orbo T-Tedlar B-grass P-Plastic OT Other <br /> u <br /> t II <br />
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