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ARCHIVED REPORTS XR0004299
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004299
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Entry Properties
Last modified
7/23/2019 11:50:13 AM
Creation date
7/23/2019 11:22:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004299
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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Chain of Custody Number <br /> SEC4R Chain-of Custody Record �� y� '] <br /> Field Office 077 Sacramento ❑ Adddrona[documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road Suite 100 Job Name 7-Eleven Store#'19976 <br /> i <br /> Rancho Cordova CA Location 1399 North Main Street <br /> Manteca,CA <br /> Project# 77EL.19976.03 Task# 0410 Analysis Req oast <br /> Project Manager Jaff Auchtedonle <br /> Laboratory ICff Analytical m <br /> Turnaround Time Standard a m <br /> C s m o <br /> a � r <br /> Sampler's Name Tom Miller a m <br /> Sampler's Signature <br /> Sample ID Date Time Matrix = $ S It m �°, lns mmeions z <br /> ;W_1 / U /1yr Water x X X 3 of <br /> j MW-1A /qtKAQCIr <br /> Water x X X 3 0-2 <br /> MW-2 Water x X X 3 07 <br /> y MWS o Water x X X 3 oY <br /> MW-4 Water x X X 3 0) <br /> MW.4A sWater x X <br /> X 3 ob � <br /> J, MWS /V ao Water x X X 3 01 <br /> MW-5A Iej 1/5- Water x X X 3 G� <br /> MW-6 l Y/ I V* Water x X X 3 J f <br /> MW 7 91:;` Water x X X 3 ! U <br /> Special Instruchons/Comments Relinquished Received by 1 Sample Receipt - <br /> 5 Oxygenates.TAME, MtBE, ELBE,TBA,DIPE Sign Sign Total no of containers <br /> Global!D#T0607700750(SIRC) Print = .�.�y�r� Pnnt Cham of custody seals <br /> email EDF to dacatlin@secor corn Company Co; Recd in good condRion/cold <br /> email lab report to dherzog 0 secor corn Time Date a Date Conforms to record <br /> Relinquished by Received—b <br /> Sign Sign Client SECOR <br /> Print Print CIGf u/ Client Contact Brian Carey <br /> Compan Company Client Phone (916)861-0400 <br /> TI w Date Time //%- <br /> SEWR <br /> ZW G Date Z2tr, ext.241 <br /> ��Ft- <br /> Date a. p Page <br />
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