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ARCHIVED REPORTS XR0004628
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544559
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ARCHIVED REPORTS XR0004628
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Last modified
6/13/2019 3:32:09 PM
Creation date
6/13/2019 3:19:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004628
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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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Received 8/1/2005 1535 <br /> Prc}ect Name N & S Irrigation Client Protect Number 54 14981 0001 <br /> Received By E P Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F06051 <br /> Shiooer Container in good conditions Samples received in proper containers? Yes ❑ No <br /> NIA Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br /> Samoles received under refrigeration? Yes In No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> hair,of asrocv presents Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of C istooy signed by all parties? Yes [l No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑ No <br /> Chain of Custody matches all sample laoel5') Do VDA vials contain zero heads pace? <br /> Yes No ❑ (None submitted ❑) 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 /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br />
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