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ARCHIVED REPORTS XR0004616
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 XR0004616
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Entry Properties
Last modified
6/13/2019 3:36:28 PM
Creation date
6/13/2019 3:15:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004616
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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R Ar on Laboratories Sample Recent Checklist <br /> iClient Name Date &Time Received 63 1° 1a L i'� a ¢ <br /> Project Name �' `"`� -1 r r Jf-0^ Client Project Number S y• )9 o ao I <br /> Received By �' Matrix Water Soil 1 <br /> Sample Carrier Client I Laborato 1 l=edEx 1 UPS 1 <br /> Argon Labs Project Number G 3 l z <br /> Shipping Container 1 Cooler in good condition? Yes No NIA <br /> Samples received under refngerabon? 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'7 Yes No <br /> Samples received in proper containers Yes v' No <br /> Samples received intact? Yes ✓ No <br /> Sufficient sample volume for requested tests? Yes I'/ No <br /> . Samples received within holding time? Yes ✓ No <br /> Do samples contain proper preservative? Yes � No NIA <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 /> Acton Taken <br />
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