My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0002180
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
G
>
GRANT LINE
>
2360
>
3500 - Local Oversight Program
>
PR0545207
>
ARCHIVED REPORTS_XR0002180
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/27/2020 4:07:48 PM
Creation date
1/27/2020 3:48:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002180
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
63
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
0 0 0 <br /> Chain of Custody Number - <br /> 301 SECOR Chain-of Cus#ody Record <br /> Field Office Sacramento L3 Additional documents are attached, and are part of this Record <br /> Address 3017141 are Road Suite 100 Job Name 7-Eleven Store#82262 <br /> Rancho Cordova, CA Location 2360 West Grant line Road <br /> Tracy,CA <br /> Project# 77EL.32262 05 Task# 0410 Analysis Request <br /> Project Manager JafF Auchterionie <br /> Laboratory KIH Analytical <br /> Tumaround Time A*" <br /> SZ <br /> 4 tl fA <br /> �O 0 <br /> Sampler`s Name Damon Brown <br /> Sampler's Signature a s yI's `o <br /> Comments) <br /> Sample ID Date Time Matrix z g Instructions z' <br /> EX-1 Pre "Itis w 0XVS u3Q}ew, x X 3 -DI <br /> EX-1 Post 4La f e 3:os 1,,J ')Y <br /> 3 <br /> BT-1 Cj a7 weiy K C3 <br /> -05 <br /> [Specia]IInstructionstCOm m ents Relinquished by Received by Sample Receipt <br /> 5 Oxygenates:TAME, MtBE,EtBE,TBA, DIPE Sign Sign Total no of containers <br /> Global ID#70607729562(SIRC) Print i Print Cham of custody seals <br /> email lab results to dherzog@secor com and Company Com Recd in good condition/cold <br /> dbrown@secor.com Time Date Tiffe Date Conforms to record <br /> Taw 0Cc Tom, Relinquished by Received by <br /> IiA . -&—V* 'Sign Sign /� „ Client SECOR <br /> D9 00 ��O Pnrrt Print r•.rR a ri.�^ Client Contact Damon Brown <br /> CeM1i1 Ya No Com Company klff A,A(yh Client Phone (9161861-04M <br /> Time Date Time SLE! Dateext<230 <br /> SECM cur eec ew zw <br /> � Date � l� o Page � i <br />
The URL can be used to link to this page
Your browser does not support the video tag.