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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
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EHD - Public
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Billing Info on <br /> CHAIN-OF-CUSSDY RECORD <br /> CA I?a� f <br /> =Glcndale <br /> lytical, Inc. v� ti� "4 -{ <br /> 1 Sparks,Nevada 89431-5778 Workorder : STR060ZI051FAX;(775)355-0406 Report Due By : 5:00 PM On : 13-Feb-06 <br /> Client: Gowri Kowth <br /> Stratus Environmental TEL: (530)676-6001 x <br /> 3330 Cameron Park Drive FAX: (530)676-6005 <br /> Suite 550 EDD Required :Yes <br /> EMail: gkowtha@shtu�nc.net Park,CA 95682-8861 Sampled by:D.Foland <br /> Report Attention: Gowri Kowtha Job: 2007-0065-01/USA 65 Cooler Tern Samples Received Date Printed <br /> CC Report: PO: Client's COC#: 7335 <br /> n/a0 C 10-Feb-06 10-Feb-06 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TvruP a voc_a <br /> Sample ID Sample In Matrix Bate ORG SUB TAT PWS# Sample Remarks <br /> STRO6021051-01 A USA65 A Eff AR 02/09/06 1 0 1 cos-TUC 6rExroxr <br /> 07:00 Tedlar <br /> F <br /> I <br /> Comments: Smur_ik seals intact.Ice n/a.Gjobal T060770006&Send cQu of receipt checkfistwith final roort.ChainmLtLi_n_L9 two different work ordendue jQ different TATs.24hr TAT. <br /> Signature Print Name Company l]atefrime <br /> Logged iin by a <br /> Oa CA I Alpha Analytical,Inc. b U <br /> NOTE: Samples are discarded 60 days atter 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 /> F <br /> Matrix Type: AO(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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