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COMPLIANCE INFO_2003
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0507204
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COMPLIANCE INFO_2003
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Last modified
2/16/2021 3:57:05 PM
Creation date
6/23/2020 6:58:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003
RECORD_ID
PR0507204
PE
2361
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
01
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507204_2360 W GRANT LINE_2003.tif
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EHD - Public
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Chain of Custody Number. <br /> SECOR ChainCustody Record <br /> Field Office: 077 Sacramerft E3 Additional documents are attached,and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite-100 Job Name: 7-Eleven Store <br /> Rancho Cordova,CA Location: 2360 West Grantiine <br /> Tracy,Cailfomla <br /> Project# 77EL.32262.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Au Is <br /> Laboratory Kiff Analytical <br /> Turnaround Time A9 he f w is <br /> 2: <br /> Sampler's Name Danlelle Catlin-Wri ht > � 9 c <br /> o a 19 d m <br /> Sampler's Signatu r g =a ; m <br /> Comments/ <br /> Sample ID Date Time a#rix = 8 8 aW ,� Instructions z <br /> 06/02103 X X <br /> Special instructions/Comments Relin uished b : Received by: Sample Receipt <br /> Oxy :TAME,N1tBE,EtBE,TBA, &DIPE Sign Lam. iq' Y _ Sign Total no.of containers: <br /> email results to'auchterionieesemr.com Print Danielle Catiln-Wrigt Pdnt Chain of custody seals: <br /> cc results to:docatlin@secor.com Company SECOR Company Recd in good condition/cold: <br /> Time Date Time Date Conforms to record: <br /> Relinquished by: Received by: <br /> Sign Sign 'Client SECOR <br /> Print Print Client Contact: Jaff Auchtedonie <br /> Company Company Kiff Analytical Client Phone: X916)861-0430 <br /> Time Date Time ; i i Date&G!@&.� ext.223 <br /> �c�a�srr�c�.� <br /> Date: 612/03 Page 1 of 1 <br />
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