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ARCHIVED REPORTS_XR0007182
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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14000
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3500 - Local Oversight Program
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PR0544811
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ARCHIVED REPORTS_XR0007182
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Entry Properties
Last modified
11/20/2024 9:21:19 AM
Creation date
9/5/2019 1:50:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007182
RECORD_ID
PR0544811
PE
3528
FACILITY_ID
FA0000091
FACILITY_NAME
Colonial Energy CE 40138 (DBA Power Mart)
STREET_NUMBER
14000
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
14000 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i • <br /> Chain of Custody Number 2 5 <br /> SECOR Chain-of Custody Record <br /> 5 <br /> Field Office. 077 Sacramento E3 Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name Time Oil <br /> Rancho Cordova, CA 95670 Location 14000 East Highway 88 <br /> Lockford,CA <br /> Project# 770T 41737 00 Task# 0003 Analysis Request <br /> Project Manager Todd Brown <br /> Laboratory ExeiChem 2 a �f 2 , <br /> taU1 <br /> Turnaround Time Standard o � N <br /> ° te a L, > oD � 2 �!'jsld�J o <br /> Sampler's Name Damon Minarich o '� o m <br /> E m '� ab F- O1 o ro o m o m <br /> Samplers Signature m E UJ L N m m > m <br /> _ r 2 «� m m $ Comments/ E <br /> Sample lb Date Time Matrix x o coo LU o t z 0 m a OP .: a Instructions z <br /> MW-1 7 2gOq /A Water X X 6 <br /> MW-2 Water X X W `( L 6 <br /> MW-3i Water X X tla-61ts33 6 <br /> MW-4 Water X X 0 02NS-S-f 6 <br /> MW-5 i a .�`' 6 <br /> MW-6 ' Water X X C.� 4 �' 6 <br /> MW-7 F I Water X X i�Jf4S—� 6 <br /> MW-8 / Water X X L.)V3Ytl 6 <br /> MW-9 Water X X t„�rSSB 6 <br /> MW-10 JWq Water X X w++4 6 <br /> Special Instructions/Comments Relinqui d by �-- Received by _ Sample Receipt <br /> EDF Required Please Email Krissy Flesoras at Sign �3m r� -,Sign Total no of containers <br /> kfiesoras@secor com Y Da on Minarich Print Chain of custody seals <br /> Company SECOR Company Recd in good conditionicold <br /> Fax Results to Time Date Time Date Conforms to record <br /> 1)Todd Brown fax 976-861-0430 Relinquished by Received by <br /> Sign Sign Client Secor <br /> Print Print Client Contact Todd Brown <br /> Company Company ��i�(Carrtr� Client Phone 916-861-0400 <br /> Time Date Time Date ext 233 <br /> SEWRCUSTFMC Rft <br /> Date Page 1 of 2 <br />
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