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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 Chaln-of CuStody Record <br /> Feld Office: 077 Sacramento ❑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# 77EI_32262.43 Task# 0410 Ana i sis Request <br /> Project Manager Jaff Auchterionie <br /> Laboratory Kiff Analytical r <br /> Turnaround Time Standard a <br /> e <br /> 03 <br /> Sampler's Name Danielle Catlin-Wright w ' <br /> Sampler's Signature m e°g 2® o s <br /> ° '� _ E 1-C S Comments/ <br /> Sample ID Date Time M -x = a-g >°m g n w InW � W Instructions z <br /> 05103J03 9:5o soil X x x <br /> tors- <br /> 4ryD ° -Cn <br /> l®• Oct <br /> Z- 10, <br /> Special Instruct ion s/Comments Relin i hed by: <br /> 4Rec " by: Sample Receipt <br /> 5 Oxygenates:TAME,MtBE,ELBE,TBA,&DIPE Sign ign Total no.of containers: <br /> email results to jauchterlonie@secor.com AIKOM <br /> Print Danielle Catlin-Wright Print Chain of custody seals: <br /> cc results to:dacatlin@secor.com Company SECOR Com Redd in good conditionk�ld: <br /> Time tib Date_ 4� Date Conforms to record: <br /> Re hed by: Received by: <br /> Sign _ _ Sign `�': _ Client: SECOR <br /> Print Print �t,,t,J A $Rgray lient Contact: Jaff Auchterlonie <br /> Company Company Kiff Analytical Client Phone: (919 861-0430 <br /> Ti Date Time ttt4$�- Date o%ogr*3 ext,241 <br /> SEC0RCtWAEC%v.ZW <br /> Date: 5/3!03 Page 20-2- <br />
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