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ARCHIVED REPORTS XR0003317
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DA VINCI
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4627
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2900 - Site Mitigation Program
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PR0543804
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ARCHIVED REPORTS XR0003317
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Entry Properties
Last modified
6/28/2019 4:11:02 PM
Creation date
6/28/2019 2:03:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003317
RECORD_ID
PR0543804
PE
2950
FACILITY_ID
FA0024907
FACILITY_NAME
7-ELEVEN STORE #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
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 E] Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 900 Job Name 7-Eleven Store#20632 <br /> Rancho Cordova,CA Location 4627 Da Vinci Drive <br /> Stockton,California <br /> Project# 77EL.20632 03 Task# 0490 Analysis Request <br /> Project Manager Jaff Auchterionie <br /> 0 <br /> Laboratory Kiff Anal ical N ,� <br /> Turnaround Time Standard a _, m m <br /> w C 6C LM N <br /> > Din C <br /> Sampler's Name 20 a m $ <br /> fuoGQa m N GSl'p 2 c <br /> as oSampler`s Signatu !E � N <br /> Sample ID 6 a E 0x Nmtap <br /> Comments/ <br /> Date Time MatrixCD i (0n to> 0 <br /> aQi= <br /> ° W Instructions z' <br /> MW-9 _a I/Yr Water X X [l <br /> MW-2 /Y60 Water X X <br /> v <br /> MW-3 _63 tau- Water X X <br /> MW-4R g (-° - 141Yr Water X X <br /> MW-5 /.o 3 12 Sa Water X X Sr <br /> MW-6 /I cr Water X X y <br /> MW-7 P,I Sao Water X X <br /> Special Instructions/CommentsRelinquished by a Received by Sample Receipt <br /> 5 Oxygenates TAME, MtBE, EtBE,TBA,&DIPE Sign Sign Total no of containers <br /> Global ID#70607700798(SIRC) Print Print Chain of custody seals <br /> EDF Deliverables Company ,� Company Recd in good condition/cold <br /> email results to bcarey@secor com Time Date Tim Date Conforms to record <br /> Relinquished by Recerbl�0�Sign SigClient SECOR <br /> Pnnt Print Client Contact Brian Carey <br /> Compa Comtel- lient Phone X916)861-0400 <br /> T Date TimeDate O 0 01 ext 241 <br /> SEOM CUSMEC RAV 2= <br /> Date Page o <br /> I <br />
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