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ARCHIVED REPORTS First Quarter 2015
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ALPINE
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2900 - Site Mitigation Program
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PR0526874
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ARCHIVED REPORTS First Quarter 2015
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Last modified
11/1/2018 11:19:07 AM
Creation date
11/1/2018 8:42:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS First Quarter 2015
FileName_PostFix
First Quarter 2015
RECORD_ID
PR0526874
PE
2960
FACILITY_ID
FA0018201
FACILITY_NAME
FORMER MOBIL SERVICE STATION 99-CAS
STREET_NUMBER
75
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11514007
CURRENT_STATUS
01
SITE_LOCATION
75 E ALPINE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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tiff eurofins <br />Caiscience <br />CLIENT: Ca4i ,Vo -� <br />Page 27 of 28 <br />WORK ORDER M 15-02-01 IE MM <br />Cooler / of / <br />DATE: 02110115 <br />TEMPERATURE: Thermometer ID: SC4 (Criteria: 0.0 °C — 6.0 °C, not frozen except sedimentltissue) <br />Temperature •4— OC + 0.2 °C (CF) _ -6 °C lank ❑ Sample <br />❑ Sample(s) outside temperature criteria (PM/APM contacted by: ) <br />❑ Sample(s) outside temperature criteria but received on ice/chilled on same day of sampling. <br />❑ Received at ambient temperature, placed on ice for transport by Courier. <br />Ambient Temperature: ❑ Air ❑ Filter Checked by: <br />Tcu rODY SEALS INTACT: S14Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Checked by: <br />© Sample ❑ ❑ No (Not Intact) gNot Present Checked by: 411 S <br />SAMPLE CONDITION: <br />Yes <br />No <br />N/A <br />Chain -Of -Custody (COC) document(s) received with samples .................. <br />�1' <br />❑ <br />❑ <br />COC document(s) received complete ................................................... <br />❑ <br />❑ <br />❑ Collection date/time, matrix, and/or # of containers logged in based on sample labels. <br />❑ No analysis requested. ❑ Not relinquished. ❑ No date/time relinquished. <br />Sampler's name indicated on COC ..................................................... <br />0 <br />❑ <br />❑ <br />Sample container label(s) consistent with COC ..................................... <br />❑ <br />❑ <br />Sample container(s) intact and good condition ...................................... <br />Z <br />❑ <br />❑ <br />Proper containers and sufficient volume for analyses requested ............... <br />A�!r <br />❑ <br />❑ <br />Analyses received within holding time ................................................. <br />J21, <br />❑ <br />❑ <br />Aqueous samples received within 15 -minute holding time <br />❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... <br />C.l <br />❑ <br />.1 <br />Proper preservation noted on COC or sample container .......................... <br />Imo' <br />❑ <br />❑ <br />❑ Unpreserved vials received for Volatiles analysis <br />Volatile analysis container(s) free of headspace.....................................ee <br />❑ <br />❑ <br />Tedlar bag(s) free of condensation...................................................... <br />❑ <br />❑ <br />CONTAINER TYPE: <br />Solid: ❑4ozCGJ 08ozCGJ ❑16ozCGJ ❑Sleeve ❑EnCoreso ❑TerraCores® ❑ <br />Aqueous: ❑V0Ag1`V0Ah ❑VOAna2 ❑125AG13 ❑125AGBh ❑125AGBp ❑1AGB 01AGBna2 01AGBs <br />❑500AGB P'500AGJ 0500AGJs ❑250AGB 0250CGB 0250CGBs 111PB 01PBna ❑500PB <br />0250PB 0250PBn ❑125PB ❑125PBznna ❑100PJ 0100PJna2 ❑ ❑ ❑ <br />Air: ❑Tedlaro []Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: <br />Container: C: Clear A: Amber P: Plastic G: Glass J: Jar B: Bottle Z: Ziploc/Resealable Bag E: Envelope Reviewed by: <br />Preservative: h: HCL n: HNO3 na2:Na2S203 na: NaOH p: H3PO4 s: H2SO4 u: Ultra -pure znna: ZnAc2+NaOH f: Filtered Scanned by:, <br />SOP T100_090 (06102114) <br />
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