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ARCHIVED REPORTS XR0000684
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000684
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Entry Properties
Last modified
2/15/2019 10:31:29 PM
Creation date
2/15/2019 4:02:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000684
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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STANDARD OPERATING PROCEDURE <br /> Attachment 10 B 1 <br /> SAMPLE LOG-IN CHECKLIST <br /> ALTA Project No .01eClIantlProtocol No <br /> 1 Date Samples Amved Initials Location <br /> 2 'lime I Date logged in e - S Initials^ 1 catlon <br /> 3 Samples Amved By (circle) FedEx UPS World Courier Other <br /> 4 Shipping Preservation (circle) Ice / Blue i 1 Dry Ice / None Tamp°C <br /> YES NO NA <br /> 5 Shipping Container(S) Intact"? If not,descnbe condition in comment section <br /> B Shipping Container(s)Custody Seals Present? <br /> Intact? If not intact,describe condition in comment section <br /> 7 Shipping Documentation Present? (circle) Shipping Label QAirbdl � <br /> Tracking Number? /cor. ��r—C� _ q�a__ _ _ ---1 <br /> /f <br /> 8 Sample Custody Seal(s)Present? No of Seals or Seat No <br /> Intact? If not Intact,descnbe condition in comment section <br /> 9 Sample Container Intact? If no indicate sample condition in comment section <br /> 10 Cham of Custody(COC)or other Sample Documentation Present? alt <br /> 11 COC/Documentation Acceptable?If no,complete COC Anomaly Form <br /> 12 Shipping Container(circle) ALTA Cllen Retain or Caaway, or Disposed <br /> 13 Container(s)anftr Buttle(s) Requested? <br /> 14 Drinking Water Sample?(HRMS Only) If yes,Acceptable Preservation? Y or N <br /> Preservation Info From? (circle) COC or Sample Container or None Noted <br /> 15 Number of Samples Received <br /> Reconciled By Date Samples Reconciled <br /> (Signature Required for LCMS Only) <br /> Comments <br /> i <br /> ALTA Analytical laboratory <br /> EI Dorado Hills CA 95762 <br /> SOP#CH 103_RI5,Page 5 or 8 <br /> Protect 21989 Page 11 of 12 <br />
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