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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
Tags
EHD - Public
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Argon Laboratories Sample Receirg Checklist <br /> Client Name: tC Assoc„4rEs Date&Time Received: 6 / i it /Oz 13; /S <br /> Project Name: --74E-C:-E ✓15 Client Project Number: <br /> Received By: 7E, ( Matrix: Water 1, qil/ <br /> Sample Carver: Client QLaboratory <br /> nn/ FedEx / UPS I <br /> Argon Labs Project Number: <br /> Shipping Container/Cooler in good condition? Yes_ No_ N/A <br /> Samples received under refrigeration? Yes '! No <br /> Chain of Custody Present? Yes No <br /> Chain of Custody signed by all parties? Yes ✓ No <br /> Chain of Custody matches all sample labels? Yes L-' No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes No <br /> Sufficient sample volume for requested tests? Yes ✓ No <br /> Samples received within holding time? Yes No <br /> lda” <br /> Do samples contain proper preservative? Yes - <br /> _ No N/A <br /> Do VOA vials contain zero headspace? Yes_ No_ (None submitted <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted by: Subject: <br /> Comments: <br /> Action Taken: <br />
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