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ARCHIVED REPORTS XR0004612
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 XR0004612
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Entry Properties
Last modified
6/13/2019 3:28:11 PM
Creation date
6/13/2019 3:13:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004612
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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•� �� ` Lrgon Laboratories Sample Receipt Checklist <br /> • Client Name A–Tr-- Date&Time Received 17--! Z! ° <br /> Project Name N S �y r+ Gt G"A Client Prefect Number <br /> Received By S Matrix to 1 So€I 1 <br /> Sample Camer Client I boreto FedEx 1 UPS 1 <br /> Argon Labs Project Number G L ZD o <br /> Shipping Container!Cooler in good condition? Samples received in proper containers? Yes No <br /> NIA / Yes No Samples received intact? Yes No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes No Yes '` No <br /> Chain of Custody Present? Yes No Samples received within holding time? Yes Na <br /> a� r Chain of Custody signed by all parties? Do 5a <br /> mples contain proper preservative? <br /> = Yasy— No WA Yes No <br /> st Chain of Custody matches all sample labels') Do VOA mats contain zero headspace? <br /> A <br /> f `= Yes No (None submitted,___)Yes _ No <br /> ANY`No"RESPONSE MUST BE DETAILED IN THE COMMENTSSECTION BELOW <br /> ti� �� w w wr.w � w awe � � w� � � awYr• � � www � r �w a � �w � w w� a a wllw a a �� 4 � www a � www � � w� w � w. <br /> <s Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> s _ <br /> t^ - Comments <br /> Adson Taken <br /> OTHER <br /> Date Client Contactea Person Contacted <br /> Comments <br /> k <br />
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