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ARCHIVED REPORTS XR0013060
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 XR0013060
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Last modified
6/13/2019 3:33:21 PM
Creation date
6/13/2019 3:21:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013060
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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EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> i <br /> Client Name <br /> +r(, s`u��� Date&Ttme Received L03:1 <br /> Project Name S c ti 4kl Client Project Number 5,q I�f�ST - 000 j <br /> Received By L' Matrix Ater Soil 1 <br /> Sample Carver Client / rato ! FedEx 1 UPS I <br /> Argon Labs Project Number <br /> t <br /> Shipping Container 1 Cooler in good con Uonl� Samples received in proper t:oniainerV Yes � <br /> N/A Yes No Samples received intact? Yes �No— <br /> Samp4s <br /> received under retngerabon? Sufficient sample volume for requested tests? / <br /> Yes ✓ No- -- _ Yes / 0 <br /> Cham of Custody Present? Yes No Samples received mihin hooding time? Yes ✓ No <br /> Cham of Custody signed by all partes? Do sampEes contain proper pmservabvel / <br /> Yes 7 No— % Yes ✓ No <br /> Chain of Custody matches aio sample/fabelsn Do VOA Aals contain zero headspace) / <br /> Yes ✓ No (none submitted_)Yes ✓ Na <br /> ANY"No" RESPONSE MUST BE DE=TAILED 1N THE COMMEt4 S SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> t <br /> ' Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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