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ARCHIVED REPORTS_XR0002169
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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2360
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3500 - Local Oversight Program
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PR0545207
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ARCHIVED REPORTS_XR0002169
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Entry Properties
Last modified
1/27/2020 4:22:32 PM
Creation date
1/27/2020 3:46:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002169
RECORD_ID
PR0545207
PE
3528
FACILITY_ID
FA0007735
FACILITY_NAME
7-ELEVEN INC #32262
STREET_NUMBER
2360
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23819001
CURRENT_STATUS
02
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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tI• t• tI• � � t• t• t• � � � � � �q_ <br /> Chain of CustodyNumber /(/�,:�q �J <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento L3 Additional documents are attached,and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location 2360 West Grant Line Road <br /> Tracy,CA <br /> Protect# 77EL 32262 04 Task# 0410 Analysis Request <br /> Protect Manager Jaff Auchterionie <br /> Laboratory Kiff Analytical N io 8 <br /> Turnaround Time Standard ' r x m <br /> a a <br /> oC c <br /> Sampler's Name Tom Miller m m ` r 4 <br /> Z y C. a <br /> S <br /> � $ ❑E W -2Ng co P S <br /> Samplers Sign d r� � a <br /> CL go <br /> Comments/ <br /> O N @ O N <br /> p g v dda � a Qo3No E <br /> Sample ID Date Time matrix z I.. UJ r �- a m w s e m Instructions z' <br /> dEx-.1fs a /"a a x I X I I I I o f 3 <br /> 730 44r,,--, <br /> U Z <br /> Special Instructions/Comments Relinquished by ak , Received by Sample Receipt <br /> 5 oxygenates-TAME,MtBE, EtBE,TBA,DIPE Sign Sign Total no of containers <br /> Global ID NT0607729562(SIRC) Print Pnnt Chain of custody seals <br /> email EDD to dacatlin@secor.com Company Compan Recd in good conditon/cold <br /> email lab results to dherzog@secor.com and Time Dater- Ti Date Conforms to record <br /> sgraham@secor corn Relinquished by Receive y <br /> Sign Sign Client SECOR <br /> Pnnt Print S Client Contact Brian Care <br /> Compan Company itn Client Phone (916)861140400 <br /> Ti Date Time Date ext 241 <br /> secoa CUSTMc Pw 2= <br /> Date Page <br />
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