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ARCHIVED REPORTS DEWATERING PROJECT COMPLETION REPORT
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0521324
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ARCHIVED REPORTS DEWATERING PROJECT COMPLETION REPORT
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Entry Properties
Last modified
2/14/2019 10:06:42 AM
Creation date
2/14/2019 8:14:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
DEWATERING PROJECT COMPLETION REPORT
RECORD_ID
PR0521324
PE
2960
FACILITY_ID
FA0014494
FACILITY_NAME
WEST SIDE OUTFALL CHANNEL (WCOS)
STREET_NUMBER
0
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
BYRON RD
P_LOCATION
03
QC Status
Approved
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WNg
Tags
EHD - Public
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TL. <br /> TL Sale Francisco 4 <br /> Sample Receipt Checklist <br /> Submission #:2003- QO - �Sq9 <br /> Checklist completed by: (initial's) Date: <br /> Courier narne= Q STI,San FEaiid rlwllt <br /> Not <br /> Custody seals intact a shipping carRaine Isarnples Yes L,�No Present <br /> Chain of custody present? Y05 T,--"`No <br /> Chain of custody E:igned when rL-Iinrtuished and f ceived? Yes i ZNc <br /> Chain of custody agrees with sample labels? Yes ZNP <br /> SompEes in proper tontaineribottle? Yes --""No <br /> Sampfe confiners inta&O- Yes �No <br /> Sufficient sample volume for indicated lest? Yes ZNo <br /> All'samples rei eived within holding time? Yes V"�Na <br /> Containerlferrp Blank temperature In compliance (40 C±2)? Temp; ` C Yas__LZNo <br /> Water-VDA vials halve aero headspac:e? No VOA+dials submitted 1.1�yls No <br /> (if bubble is present, refer to approximate bubble size artd iiemize in torn rnenls as 5(small -0), M (rnedsurn- ) or L(large# ) <br /> Water-pH acceptable upon receipt's �es ❑ No <br /> ❑ pH adjusted- Preservative used: D HNOs 0 HCI ❑ H3504 E3 NaOH n Zr1OAC <br /> For any [tom check-listed "No", prov]ded d UiI of discrepancy ire comment section below' <br /> Comments: [C.0 C1 4 <br /> Project Management [Rotating for instruction of indicated discrepancies)] <br /> Project Manager (initials) Date. � 3 <br /> Client contac;tad: 0 Yes ❑ No <br /> Summary of discussion. <br /> Corrective Action (per PWCGent): <br />
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