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ARCHIVED REPORTS_XR0002169
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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2360
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3500 - Local Oversight Program
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PR0545207
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ARCHIVED REPORTS_XR0002169
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Entry Properties
Last modified
1/27/2020 4:22:32 PM
Creation date
1/27/2020 3:46:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002169
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
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EHD - Public
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>, � � � _ � � � r� � � � � tttttt� � ■■� � � <br /> Cham of Custody Number <br /> SECOR Chain-of Custody Record <br /> Field Office 077 Sacramento E3 Additional documents are attached, and are part of this Record <br /> Address 3017 Kilgore Road,Suite 100 ,lob Name 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location 2360 West Grant Line Road <br /> Tracy,CA <br /> R <br /> Protect# 77EL.32262 04 Task# 0402 Ana sis equest <br /> Project Manager Jaff Auchterionie <br /> Laboratory Kiff Analytical W m 1 e <br /> Turnaround Time Standard W s a m 6 iF <br /> O� <br /> Samplers Name Danielle Catlin-Wn ht COo m C3, <br /> ; o <br /> O n v C � or- <br /> Samplees Signature 1 JLA o " E W w W ' m Commentst <br /> x s oa 10E � <br /> Sample ID Date Time Matnx x m z m 30 1-- Instructions <br /> SPP ABCD -O Soil X X 1PIs.Composite 4 into 1 p 4 <br /> i <br /> I <br /> Special Instruchons/Comments Relinquished Received by Sample Receipt <br /> Combine soil samples SP8-A,SP8-B,SP8-C,and SP8- Sign _ Sign Total no of container; <br /> C into one composite sample SP8(ABCD) Print Danielle Catlin-WrighfU Print Cham of custody seals <br /> Company Company Recd m good condition/cold <br /> Global ID#70607729562(SIRC) Time Date Ti Date Conforms to record <br /> i <br /> email EDD dacatiin@secor com Relinquished by, Receiv <br /> email lab report to bcarey@secor.com Sign Sign Client SECOR <br /> Print Print �Analytical <br /> ti Client Contact Brian Carey <br /> Company Company Client Phone +(916)861-0400_ <br /> Ti Date Time Jj9M Date eI-/_--;77Ap ext.241 <br /> setaeWSTWCIt"xs: <br /> Date 726!2004 Page 1 of 1 <br />
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