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ARCHIVED REPORTS XR0004297
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004297
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Entry Properties
Last modified
7/23/2019 11:44:00 AM
Creation date
7/23/2019 11:21:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004297
RECORD_ID
PR0544686
PE
3528
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
02
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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i <br /> Chain of Cust Number 3 i4'5 <br /> SECOR Chain-0f Custody Record <br /> Field Office 077 Sacramento L2 Additional documents are attached, and are part of this Record <br /> Address 3017 Kllgore Road,Suite 100 _ Job Name 7-Eleven Store#19976 <br /> Rancho Cordova,CA Location 1399 North Main Street <br /> Manteca CA <br /> Project# 77EL..19976.04 Task# 0410 Analysis Request <br /> Project Manager Jaft Auchterionle <br /> Laboratory ISIff Analytical _ <br /> Turnaround Time Standardr = `a <br /> Samplers Name Tom Miller <br /> m <br /> Samplers Signature <br /> E S F; Comments/ E <br /> Sample ID Date Time Matrix x m m z m o�m b Instructions z' <br /> MW-1 kj( 2 cid Water x X X _01 3 <br /> MW-IA 6-lo-o x3d Water x X X T°Z 3 <br /> MW-2 &/0-61( /7 Water x X X -03 3 <br /> MWS '/eke Water x X X 3 <br /> MW- (,to cq /4"d6 Water x X X `6S 3 <br /> MW-4A 0 S/y Water x XX -r,4 3 <br /> MWS • 0_oql Water x X X _01 3 <br /> MW45A Z0 Water x X X 3 <br /> MWS -10-V /4 Water x X X -04R 3 <br /> MW-7 'o Water x X X —10 3 <br /> Special Instrucdons/Comments Reli Received by Sample Receipt <br /> 5 Oxygenates:TAME, MtBE,EtBE,TBA,DIPE Si Sign Total no of oontainers <br /> Global ID 970607700750(SIRC) Print Print Chain of custody seats <br /> email EDD to dacatlin@secor corn Company Compan Recd in good condition/cold <br /> email lab report to dheriog@secor corn and Time DateT Date Conforms to record <br /> bcarey@secor com Relinquished by- Received by <br /> Sign Sign _ Client: SECOR <br /> Print Print Client Contact Brian Carey <br /> Comps Company Client Phone (916)8614MO <br /> Ti Date Time exL 241 <br /> eEOcn«mac a..2W <br /> Date �'��'�``'`� Page 114 <br />
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