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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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ailling Information : CHAIN-OF-CUSTODY RECORD Page: <br /> toff <br /> Alpha Analytical, Inc. , y <br /> WorkOrder . STR0008 640 ,.�.s <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5779 <br /> TEL:(775)355-1044 FAX:(775)355-0406 <br /> Client: 1.__...--•--__-- __ ._�-. ---_--___:_ Report Due By : 9:50 AM On : 1$-Aug-00 <br /> Stratus Environmental j Company PhonelFax Secondary PhonelFax <br /> 3330 Cameron Park Drive !TEL: (530)676-6001 TEL: (530)676-6001 EDD Required:No <br /> Suite 550 FAX: (530)676-6005 FAX: (530)676-6005 <br /> Cameron Park,CA 95682-8861 Job; 2007-065-01 USA Lodi 65 Sampled by:D. Foland <br /> Report Attention : Gowri Kowtha PO: Client's COC#: none Cooler Temp: 25°C 16-Aug-00 <br /> QC Level: S4 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles TPWP A VOC_A ' T <br /> Sample ID Sample ID Matrix Date. ORG" SUB TAT. PWS# Sample Remarks <br /> 00111i46`6 <br /> 081 fi40 O 1 Ar Eff. AR 0815 350 I 1 -� --T 2 BT�EI�G�ASI B m AAs! <br /> STR00081640-02A Inf. AR 08/15/00 1 0 1 2 BTX15:43 <br /> BTXFJGAS! <br /> ! 15:43 i r -beW.0" <br /> 08 --0 BTXFJGASr UX&GAsr <br /> mt6e mtbeTInf. 15:59�S_T _0- 64003A _ - — <br /> T <br /> Comments: 48 14R TAT. No security seals no ice with samples. CA samples. <br /> {{" Signature i Print Name Company Date/Time <br /> ........... <br /> Relinquished by: .....- .......... <br /> Received by: p tt3 � .d� .. y' +' 4v� r <br /> - r- , `.e €-- <br /> j9�p a <br /> Relinquished by: <br /> ---------------- <br /> ----------------- <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 fns 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 ItAQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Otherj Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plasti -Other <br />
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