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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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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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Page 34 of 34 <br />li e u rof i ns Calscience � O 5 <br /># ORDER RK w : 1 -02-EE a0 0 <br />f; rfty- <br />SAMPLES - CONTAINERS & LABELS: Comments: <br />❑ Sample(s) NOT RECEIVED but listed on COC <br />❑ Sample(s) received but NOT LISTED on COC <br />❑ Holding time expired — list sample ID(s) and test <br />❑ Insufficient quantities for analysis — list test <br />❑ Improper container(s) used — list test <br />❑ Improper preservative used — list test <br />❑ No preservative noted on COC or label — list test & notify lab <br />❑ Sample labels illegible — note test/container type <br />O -Sample label(s) do not match COC — Note in comments <br />❑ Sample ID <br />❑ Date and/or Time Collected <br />❑ Project Information <br />,K4 of Container(s) <br />7—Analysisd�r"7�arke►-s ; H < <br />❑ Sample container(s) compromised — Note in comments -n <br />❑ Water present in sample container -e <br />❑ Broken <br />❑ Sample container(s) not labeled <br />❑ Air sample container(s) compromised — Note in comments <br />❑ Flat <br />❑ Very low in volume <br />❑ Leaking (Not transferred - duplicate bag submitted) <br />❑ Leaking (transferred into Calscience Tedlar® Bag*) <br />❑ Leaking (transferred into Client's Tedlar® Bag*) <br />❑ Other: <br />HEADSPACE — Containers with Bubble > 6mm or'/4 inch: <br />Sample # <br />Container <br />ID(s) <br /># of Vials <br />Received <br />Sample # <br />Container ID(s) <br /># of Vials <br />Received <br />Sample # <br />Container I <br />ID(s) <br /># of Cont. <br />received <br />Analysis <br />Comments: <br />*Transferred at Client's request. <br />Initial / Date: PP,02 /01/15 <br />SOP T10o_U9O <br />r <br />
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