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ARCHIVED REPORTS_XR0002412
Environmental Health - Public
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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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455
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3500 - Local Oversight Program
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PR0545202
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ARCHIVED REPORTS_XR0002412
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Entry Properties
Last modified
1/27/2020 11:12:30 AM
Creation date
1/27/2020 10:27:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002412
RECORD_ID
PR0545202
PE
3528
FACILITY_ID
FA0003124
FACILITY_NAME
7-ELEVEN INC. STORE #20304
STREET_NUMBER
455
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
455 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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4080 PIKE LANE, SUITE c CHAIN-OF-CUSTODYRECORD.�')\ � <br /> (;TEL coNCcdF�O,'cA sn52o AND AIVALYSIS REOUk.%T,'�' ','I',,, l; r ' �1, � 35180 <br /> (510) 685 7852 <br /> r , (800) 423 7143 <br /> Company Name Phone # t' <br /> (9 f 6) 372-x#700Fluor 0anfel-G-11 ut w � ' � <br /> FAX 4' — � <br /> Comp-►ny Addtes-itt o 1 i i n iy a t ri Dr. Zl <br /> Site Location rt an d ` C) 0 <br /> i l.-f ll� tr�a �ZC2� ❑ ❑ ❑ <br /> Ste. 140, W Sac1 atnnnto, CA 9 691 y (Ac*t _ �, N a cc 8 <br /> ❑ ❑ <br /> Protect Manager c Client Project ID (#) t ) ( ± + p a Z <br /> ` r .M Store Oa o a ❑ ❑ ❑ ❑ in z �{ o ❑ m <br /> Ncr <br /> I -ttirst 11»1 the proprr field S-irrnpling Sampler Name(Print) C7 T n ❑ LJ o ❑ J v E ? ❑ ❑ <br /> Cr <br /> rocc�dures were used diirin the t C c " ❑ d a s u rn o <br /> collection of these Snmptes t (� t i a o to � a o 0 C, a m ❑ o ❑ a <br /> Cq Method " m a c m w a ° o <br /> Matrix Sampling m n a` m ❑ O w a a C ❑ ❑ © d J g ❑ ri <br /> Field GTEI_ w Preserved ❑ _ M a0 co U w w w ;i li a �, LI ❑ <br /> Sample Lab N a ut U a 1 m ro c7 r n w m v� o x °' y m -y <br /> r a C7 o ex w v oC n' vii m m cep W O a c <br /> 1D (Lab Use o F � o o w wW wg w w X o c a o <br /> 11 !! a o z o fl w 0.¢ z Y r w w a v " a a a a Q a a a 4p <br /> only w ? O ¢ d ~O S U J� �,� aO H m m = T O Fa- w w w w w w w w w H w U -J O 3 <br /> 6 <br /> A a.11 <br /> 1 <br /> M.W _ ] /\j <br /> 4 ` <br /> y}a..r. <br /> TAT Special Handling SPECIAL DETECTION LIMITS REMARKS <br /> Priorly(24 hr) { { GTEL Contact — <br /> Exped€ted(48 hr) I 1 Ouoie/Contrael 9 <br /> 7 nusfnru OayS f I Conhrrnal€on N <br /> 01her--- _ SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot N Storage Location <br /> Business Days ; ) PO ff <br /> OA/QC Leve <br /> 13+ur 11 CI>( } ocher I_l — _ 1 FAX❑ Work Order R <br /> nelin she by Sa pter ateTime Received by �} <br /> CUSTODY Relrnryurshr 6y Dat Time Received by rV <br /> RECORD <br /> nelrnqurShCd by Date Time Received by Laboratory <br /> Waybill N <br />
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