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ARCHIVED REPORTS XR0004609
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544559
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ARCHIVED REPORTS XR0004609
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Entry Properties
Last modified
6/13/2019 3:33:37 PM
Creation date
6/13/2019 3:13:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004609
RECORD_ID
PR0544559
PE
3528
FACILITY_ID
FA0009944
FACILITY_NAME
N&S IRRIGATION
STREET_NUMBER
215
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25906072
CURRENT_STATUS
02
SITE_LOCATION
215 W MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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Aron Laboratories Sample Recei t Checklist <br /> 10 Client Name :-M ri,a Date&Time Received q //D 103 11 145 <br /> Project Name N 5 -11 ►J Client Protect Number 5K, t`1`f 9 I 6,no l <br /> Received By Matrix Water Soil I <br /> Sample Carrier Client itory FedEx 1 UPS 1 <br /> Argonz Labs Project Number `t:;10q r S <br /> Shipping Container 1 Coder inood condition? <br /> 9 Samples received in proper containers? Yes' No <br /> NIA V Yes No Samples received intact? Yes— <br /> No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes No Yes Ll"'No <br /> Chain of Custody Present? Yes 'l-,�No Samples received within holding time? Yes ✓ No <br /> Chain of Custody signed by ail parties? Do samples contain proper preservative? <br /> Yes �No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 1/1,No {None submitted__J Yes No <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 /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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