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ARCHIVED REPORTS_XR0009186
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4501
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009186
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Entry Properties
Last modified
5/6/2020 11:39:05 AM
Creation date
5/6/2020 11:22:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009186
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento [3 Additional documents are attached,and are part of this Record <br /> Address 301_7 Kilgore Road,Suite 10.0 _ Job Name 7-Eleven Store#17334 <br /> Rancho Cordova,CA location 4501 Pershing Ave. <br /> Stockton,California <br /> Project# 77Et-17334 43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory Kiff Analytical _ 8 <br /> Turnaround Time Standard y 2 <br /> Sampler's Name Danielle Catlin-Wright m= m m <br /> Sampler's Signature a S g b <br /> JI$ Comments/ <br /> Sample ID Date Time Matrix = $ a m n °w Instructions z' <br /> • 04/04/03 11'59 Soil I X 0 <br /> ��• 11'�f5 1 ®3 <br /> 5, oy <br /> Special instructions/Comments Relinquished Received by Sample Recei t <br /> 5 Oxygenates TAME,MtBE, EtBE,TBA,& DIPE S - 4krl Sign Total no of containers <br /> email results to Jauchterionle0secor.com Print rant Chain of custody seals <br /> Company Company Recd in good conditioNcold <br /> Time ; Date Time Date Conforms to record <br /> Relinquished by eceiv y <br /> Sign Sign Client SECOR <br /> Print Print Client Contact Jaff Auchterlonie <br /> company.--' Company V�2, AL Client Phone (916)861-0430 <br /> Date Time Dato0 ext 241 <br /> SECOR ClWwc P—a8S <br /> Date Page <br />
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