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COMPLIANCE INFO_2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0517272
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COMPLIANCE INFO_2011
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Last modified
6/30/2020 10:41:44 AM
Creation date
6/23/2020 6:59:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0517272_15237 N THORNTON_2011.tif
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EHD - Public
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Biiung inf�manat : CHAIN—OF—CUSTODY RECORD CA R USHe I Of <br />1 <br />Alpha Analytical, Inc. WorkOrder : BBAV11081703 <br />255 Glendale Avenue, Suite 21 Sparks, Nevada 89431-5778 <br />j TEL: (775) 355-1044 FAX: (775) 355-0406 Report Due By : 5:00 PM On : 19 -Aug -2011 <br />Client: Relxxt Attention Phone Numb EMell Address <br />Broadbent &Associates Tom Sparrowe (707) 455-7290 x tsparrowe@broadbentinc.com <br />875 Cotting Lane EDD Required: No <br />Suite G <br />Vacaville, CA 95688 Sampled by: Sam Barkley <br />PO: Cooler Temp Samples Received Date Pring <br />Client's COC #: none Job: 11-10-106/ PilottF[ying J 4 °C 17 -Aug -2011 17 -Aug -2011 <br />QC Level: S3 = Final Rpt, MBLK, LCS, MS/MSD With Surrogates <br />Requested Tests <br />Sample Remarks <br />Alpha Client Collection No. of Bottles r s voc s <br />Sample ID Sample ID Matrix Date Alpha Sub TAT <br />� <br />BBA11081703-01 P-1 SO 08/16/11 1 0 2 '►'P� c E c <br />� 10:10 <br />BBA11081703-0 P-2 SO 08116/11 1 1 0 2 1 mvE-c 1 srsx c <br />10:20 <br />Comments: 48 Hour TAT Security seals intact. From ice Total Xylenes Per phone conversation w/ Sam Barkley 8/17/11 Cad 9.24 confirmed TAT <br />Print Name <br />Logged in by: <br />Alpha Analytical, Inc. V - ; ] - <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-Soll Jar O-Orbo T-Tediar B -Brass P -Plastic OT -Other <br />
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