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ARCHIVED REPORTS_XR0013042
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_XR0013042
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Entry Properties
Last modified
3/5/2020 5:52:43 PM
Creation date
3/5/2020 5:00:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013042
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 Information: CHAIN-OF-CUSTODY RECORD Page: <br /> I of 1 <br /> --------.____-- Alpha Analytical, Inc..__...-._.__,--._.._-- <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 WarkOrder : STR00082246 f � <br /> TEL7(775 355-1044 FAX: 775 355-0406 <br /> Client: } _ <br /> --= -.--- ----__-___ Report Due BY : 2:20 PM On : 23-Aug-00 <br /> Stratus Environmental Company Phone/Fax Secondary Phone/Fax <br /> 3330 Cameron Park Drive TEL.: (530)676-6001 TEL: (530)676-6001 EDD Required :No <br /> Suite 550 FA1:: (530)676-6005 FAX: (530)676-6005 <br /> Job: 2007-0065-01 USA P y <br /> Cameron Park,GA 95682-8861 _ -�--- ------- Sampled b Client <br /> Report Attention: Douglas Foland PO; Client's COC#: none Cooler Temp: 25°C 22-Aug-00 <br /> QC Level: S4 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> Requested Tests - - <br /> Alpha Client Collection No.of Bottles TpHtr_A vOc_A — <br /> Sample ID Sample ID Matrix Date OR!; SUB TAT PWS# <br /> STR00082246-01A Eff. AR 08/21/00 1 0 1 GAS-N!C aTaxrn� — — Sample Remarks <br /> 1 08:40 <br /> STR00082246 02A T Inf. AR�11 <br /> 0812845..00 1 0 1 GAS-N1C $rExmT <br /> ---— I 0 : .� <br /> Inf. 0 <br /> 0 STR00082246-03A 09:00 <br /> � <br /> Comments: 24 HR TAT. CA sam les. No security seals,no ice in cooler.'TEDLAR haus <br /> Siguature t'rintName - — <br /> Company � �� Datefl'ime <br /> Relinquished by: <br /> Received b • — -- <br /> Relinquished by: <br /> Received by: <br /> r <br /> t a 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,f—the report. <br /> Matrix Ty J <br /> Q(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other Bottle Type: L-titer V-Voa 8-Soil Jar O-Orbo T-Tedlar B-Brass P-Plast! '-Other <br /> L„�I <br />
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