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ARCHIVED REPORTS XR0003354
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003354
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Entry Properties
Last modified
6/24/2019 1:55:58 PM
Creation date
6/24/2019 1:22:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003354
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Chain of Custody Number <br /> SECOR Chain-of Custody Record <br /> Feld Office 077 Sacramento D Additional documents are attached,and are part of this Record <br /> Address _3017 Kilgore Road,Suite 100 Job Name 7-Eleven Store#14117 <br /> Rancho Cordova,CA - Location 2725 Count! ►Club Blvd <br /> Stockton,California <br /> Project# 77EL 14117 04 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonie <br /> Laboratory KEff Analytical <br /> m N N V <br /> Turnaround Time Standard d <br /> WC _ <br /> Sampler's Name0 0 a <br /> Peng Vang 11 m m <br /> Sampler's Signature ✓ g o V 02 <br /> e Ng oF ov a mEN mO ' fV � <br /> Sample ID " _ r coo <br /> Comment /Date Time Mt � N0 <br /> E <br /> to 3rc ' <br /> MW-1 Z-4�y rbZS H2O x X X instructions z <br /> 3 <br /> J MW-2 1Z V6 �45� H2O X X X <br /> MW-3 3 <br /> �Z-?Z-o o°rip H2O X X <br /> X <br /> e MWS -Z -o odqx H2O X X X 3 <br /> 3 <br /> MW-5 (l�Ll-a f552 H2O x X <br /> X <br /> MW-G3 <br /> ,tSL H2O x X X <br /> MW-73 <br /> 1211-c' 1Sy4, H2O x X X 3 <br /> MW-8 12-! 4 H2O x X X <br /> 3 <br /> Special Instructions/Comments Relinquished by ,,,!Sr V.,r 4 Received by Sample Receipt <br /> 5 Oxygenates.TAME, MtBE, EtBE,TBA,&DIPE Sign Sign Total m of containers <br /> Global ID#T0607700458(SIRC) Print G„ Print Chain of custody seals <br /> email EDD dacatlrn@secor corn Company Compa Recd in good condition/cold <br /> email lab report to dherzog@secor cam and Time Date /1_ Lz Date Conforms to record <br /> tmiller@secor com Relinquished by Receive <br /> Y F etas �i� r;� <br /> Sign Sign Client SECOR <br /> Com Print ,���/� g <br /> � Client Contact Tom Miller <br /> Comp Company ��rp/,�✓,�4 t-irg� Client Phone T916)861-0400 <br /> e Date Time ,��Date (Zz7a ext 279 <br /> secure cusznec Rey 2M <br /> Date i -zz- Page , <br />
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