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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Alpha Analytical, Inc. <br /> Phone: (775)355-1044 FAX: (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client: 2/20/2006 Date of Notice: 2/10/2006 10:34:40 <br /> Please take note of any NO check marks.If we receive no response concerning these Items within 24 hours of the date of this notice, all of <br /> the samples will be analyzed as requested. <br /> Client Name: Stratus Environmental Project ID: 2007-0065-01/USA 65 <br /> Project Manager: Gowri Kowtha Client's EMail: gkowtha®stratusine.net <br /> Client's Phone: (530)676-6001 Client's FAX: (530) 676-6005 <br /> Work Order Number: STR06021056 Date Received: 2/10/2006 Received by:Tara Dickinson <br /> Chain sof Custody(COC)Information <br /> Carrier name: FedEx <br /> Chain of custody present? Yes Ri ❑ No <br /> Custody seals intact on shippping container/cooler? Yes RJ ❑ No Not Present ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present <br /> Chain of custody signed when relinquished and received? Yes W ❑ No <br /> Chain of custody agrees with sample labels? Yes V ❑ No <br /> Sample ID noted by Client on COC ? Yes 0 ❑ No <br /> Date and time of collection noted by Client on COC? Yes No <br /> Samplers's name noted on COC? Yes 0 ❑ No <br /> 1rnal Chain of Custody(COC) requested? Yes ❑ ❑ No <br /> pub Contract Lab Used: None 0 ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> Shipping container/cooler in good condition? Yes k ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes k ❑ No <br /> Sample containers intact? Yes W ❑ No <br /> Sufficient sample volume for indicated test? Yes RJ ❑ No <br /> Sample Preservation and Hold Time H Information <br /> All samples received within holding time? Yes No <br /> Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-60C)? Yes © ❑ No n/a°C <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ ❑ No No VOA vials submitted 0 <br /> Sample labels checked for correct preservation? Yes © ❑ No <br /> TOC Water-pH acceptable upon receipt(H2SO4 pH<2)? Yes ❑ ❑ No N/A <br /> Analytical Reaulrement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ ❑�/ No <br /> Are there client specific Project requirements? Yes ❑ ❑d No If YES:see the Chain of Custody(COC) <br /> Comments: Chain split into two different work orders due to different TAT's. <br />
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