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ARCHIVED REPORTS XR0003377
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003377
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Entry Properties
Last modified
6/24/2019 2:55:46 PM
Creation date
6/24/2019 1:40:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003377
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SER Rancho Cordova Office SECOR Inttional, Inc. CHAIN OF CUSTODY R RD <br /> 3017 Kilgore Road SECOR Company Contact(s)for Dice DATE <br /> 44-6" <br /> Rancho Cordova, CA Jaff Auchterlonle,SECOR Project Manager <br /> email-jauchterlonie@secor com EL 14117 03.0410 PAGE <br /> TEL (916)861-0400 FAX (916) 861-0430 77 <br /> Project Nanre email lab results to bcare @seeor com 1 OF 2 <br /> Sampler(s)Printed Name <br /> Address 7-Eleven Store#14117 <br /> ULaboratory 2725 Country Club Road,Stockton,CA gz t <br /> Global ID#70607700458(SIRC) S s} ignaturs KIFF ANALYTICAL <br /> Lab Use 0611 <br /> Tum-around Time-usiness Days) OIL <br /> 10 DAYS E] 5 DAYS 0 72 HR 48 HR 24 HR <24 HR REQUESTED ANALYSIS <br /> �X OTHER-1 Week(Standard TAT) <br /> Special Instructions or Notes <br /> Temperature Upon Receipt(C) w <br /> N <br /> W <br /> 5 Oxygenates TAME, DIPE, MtBE, EtBE,TBA a <br /> EDF Dellverabtes <br /> 0 <br /> N <br /> X <br /> W <br /> F- <br /> m <br /> LASME- Field Sample Identification SAMPLING MAT- Nc0."T aRm <br /> 0 <br /> ONLY DATE TIME Rix r Pre sa h m <br /> MW-1 water 4 HCL X Laboratory Notes <br /> MW-2 water 4 HCL X <br /> MW-3 Water 4 HCL X <br /> MW-4 water 4 HCl X <br /> MW-5 I water 4 HCL X <br /> MW-6 f Water 4 HCL X <br /> MW-7 Water 4 HCL X <br /> I <br /> Mq.-hd <br /> A'111'U1A' * Da Time Received by(Signature) <br /> Re � Date Time <br /> e Time Received by(Signature) <br /> Date Time <br /> Relinqurshad by(signature) Date Time Recat d ( n re <br /> Date Time. <br /> pat 3 <br />
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