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ARCHIVED REPORTS XR0004302
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004302
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Entry Properties
Last modified
7/23/2019 11:53:14 AM
Creation date
7/23/2019 11:24:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004302
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 /> SECOR Chain-of Custody Record <br /> Feld Office 077 Sacramento El Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#19976 <br /> Rancho Cordova CA Location 139.9 North Main Street <br /> Manteca California <br /> Project# 771IL19976.43 Task# 0410 Analysis Request <br /> Protect Manager Jeff Auchterionle <br /> Laboratory Kiff An Icai ri <br /> TO <br /> _ W m <br /> Turnaround Time S <br /> `1og m <br /> Sampler's Name Brian Cara 0 y ' t z 1 . m n a O <br /> Sampler's Signage g m o ? o <br /> Sam Is ID v _ ,f 0 ,9 T s Comments/ <br /> p Date Time Matnx z $ $ �, m w 10 IL i <br /> �PI � Instructions z <br /> 06/09/03 IS(3- Soil X <br /> 5f Z C f6 x I <br /> j6 4/R, <br /> Special instrucbons/Comrnents Relrnqui ed by Received by Sam le Receipt <br /> t <br /> 5 Oxygenates:TAME,MOE, EtBE,TBA, &DIPE Sign a Sign <br /> email results to jauchterlonlefsecor.com Pnnt Brian Car g Total no of containers <br /> Print Chain of custody seals <br /> cc results to-dacetll illtsecor corn Company SECOR Com n <br /> Co rnb f Savr+p !" f} S��-Q to to Redd in good condrtionlcold <br /> S S Time 1t p Da#e Tme Date Conforms to record <br /> Owe-e- compos;4-2 -SA"to— L {A5), Sarn2 RelinquishedY Received b b -- <br /> Sign Sign Client SECOR <br /> Print Print Client Contact Jaff Auchterlonle <br /> Compan Company Kiff Analytical Client Phone- (916)861-0430 <br /> Ti Date <br /> Time jDate D <br /> SEWRCUSTWC rte,zioaOXL 223 <br /> Date 5/27/03 Page 1 of I <br />
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