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ARCHIVED REPORTS_XR0003856
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_XR0003856
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Entry Properties
Last modified
3/5/2020 6:36:27 PM
Creation date
3/5/2020 4:37:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003856
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!nf ion: CHAIN-OF-CU_SIODY RECORD <br /> Page*2 <br /> - --- Al ha Analytical— - ----- CA <br /> p , Inc. <br /> 255 Glendale Avenge,Suite 21 Sparks,Nevada 89431-5778 WorkOrder ; STR060II003 <br /> TEL:(775)355-1044 FAX:(775)355-0406 <br /> Client: Report Due By : 5:00 PM On : 18-Jan-06 <br /> i — — _ _�_�.-----04 <br /> Gowri Kowtha <br /> Stratus Environmental FFA <br /> L: (530)676-6001 <br /> 3330 Cameron Park Drive X: (530)676-6005 EDD Re utrSuite 550 q ed : Yes <br /> ail gkowtha@stratuslnc.net <br /> Cameron Park,CA 95662-8861 — -__ Sampled by:Vince Zalutka <br /> Report Attention: Gow►i Kowlha Job: 2007-055-01 USA 65 <br /> CC Report: PO: Cooler Temp ; 4°C Date Printed; <br /> Client's COC#: none T <br /> 10-,tan-06 <br /> QC Level: S3 = Final Apt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests - - - - <br /> Alpha Client Collection No.of Bottles ALCOHOL- TaHrn_w Vol - <br /> Sample ID Sample ID Metrix Date ORG SUB TAT PWS# w <br /> -- - - -- -- - -- - Sample Remarks <br /> STI 06011003 10A S-2 TAQ 010/a9/0� E a�Hr cns c ar�avoxr_ Sample ID differs from <br /> I I chain,matched by time, <br /> --- - - — — -- - - -- - - - -logged in per chain <br /> I <br /> I <br /> Comments: Securitysntact,frozen ice. Global ID#T0607700068 Send copy of receipt checklist with final report: <br /> --- Signa re C - <br /> i -- --- -- - -- - - -— _ C ---Print Name -ompany _ D_ate/Tir <br /> Logged in by: -- — .7 l � .S <br /> Alp ha 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 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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