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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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I• i• l• <br /> Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento 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 /> Project# 77EL 32262.04 Task# 0402 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical <br /> m <br /> Turnaround Time Standard <br /> o C a o LM R <br /> w O � �? � O o <br /> Sampler's Name Danielle Catlin-Wry ht m s m z <br /> Q co U Q tO O p� O <br /> Samplers Signature !n v O N d O } N <br /> v z o a a S le E co Comments/ <br /> i <br /> Sample ID Date Time Matrix i � ; a $ F Q $ 0 = 0 n m Instructions z' <br /> MW-8-6' 07/26/04 Sa Soil Hold 1 <br /> MW-8-10' 07/26/04 •SQ Soil X 1 <br /> MW-8-16' 07/26/04 Soil X 1 <br /> MW-9-6 5' 07/26/04 (�' Sod Hold 1 <br /> MW-9-11' 07126/04 Soil X 1 <br /> MW-9-15 5' 07126104 Soil X 1 <br /> Special Instructions/Comments RelinqLLished by Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE, TBA, DIPE Sign',- -Sign Total no of containers <br /> Global ID#T0607729562(SIRC) Print Print Cham of custody seals <br /> FPNs MW-8& MW-9 Company ef=CQP,= Company Rec'd in good condition/cold <br /> email EDD to dacatlin@secor cam Time Date Tim Date Conforms to record <br /> email lab results to bcarey@secor com Relinquished by Receive"Y <br /> Sign Sign f YL client SECOR <br /> Print Print Client Contact _Bnan Carey <br /> Co Company Client Phone (916)861-0400 <br /> ime Date Time ?n&&_Date ext. 241 <br /> Date d 7 o-4 '01 Page <br />
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