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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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Entry Properties
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: 3 3 3b <br /> SECOR Chain-ofCustody Record <br /> Field Office: 077 Sacramento U Additional documents are attached,and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: 7-Eleven Store#32262 <br /> Rancho Cordova,CA Location: 2360 West Grantline <br /> Tracy,California <br /> Project# 77EL.32262.43 Task# 0410 Analysis Request <br /> Project Manager Jaff Auchterlonle <br /> Laboratory Kiff Analytical 7 <br /> Turnaround Time 7,� v <br /> C0%a qq, _G <br /> Sampler's Name Danielle C tlin-Wri ht i ". a �, 'p q <br /> Sampler's Signs tur s°g o o s <br /> ti < G m <br /> =r = � ' a a < Comments/ <br /> Sam le ID Date Time Matrix ' L ; g : g A o 0 w 9 w I I Instructions <br /> 5 D 3:31 Soil X1 I I X Xdo 10 <br /> C ir!'rE'a 1 <br /> IM <br /> +03 <br /> 'HtO <br /> ! <br /> Special Instructions/Comments Re lin uished b : Received by: Sample Receipt <br /> 5 Oxygenates:TAME,MTBE,EtBE,TBA,&DIPE Sig IILSIgn Total no.of containers: <br /> email results to jauchterlonleesecor.com Print Danielle Catlin-V ri h Print Chain of custody seals: <br /> cc results to:dacatllnesecor.com Company SECOR Company Recd in good condition/cold: <br /> eo L-t Time I2. 11 Date 06-o&*aS Time Date Conforms to record: <br /> 7 Relinquished by: Received by: <br /> Sign Sign lent: SECOR <br /> Print Print ' Client Contact: Jaff Auchterlonle <br /> Company Company Klff Analytical Client Phone: (916)861-0430 <br /> seconaisTWcAw.aw Time Date Time 167: 11 Date oi•o2•®3 ext.223 <br /> dr•02.O� <br /> Date:.WRWW Page 1 of 1 <br />
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