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ARCHIVED REPORTS XR0013060
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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215
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3500 - Local Oversight Program
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PR0544559
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ARCHIVED REPORTS XR0013060
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Entry Properties
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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SJGOV\wng
Tags
EHD - Public
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Amon Laboratories Sample Receipt checklist <br /> Chenl Name 7—C 5S <br /> � Qale&Time Received O ! of / 0 :3 <br /> /6 S <br /> Project Name S R In1 Client Project Number 11�-`f &'/ 000 <br /> Received By T R 1IVA Matnx afar 1 Soil 1 <br /> 1 Sample Camer Client 1 aboral 1 FedEx ! UPS ! <br /> Argon Labs Project Number D0 e,Ll <br /> Shipping Container/Cooler in goodco dtio0 Samples received In proper containers? Yes No <br /> N1A Yes No Samples received intact? Yes / No <br /> ' Sampfes received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes No <br /> ' Cham of Custody Presents Yes ZNo Samples received Within holding time? Yes / No <br /> Cnain of Cuslody signed by all parU 0 Do samples contain proper preservative') <br /> Yes /No NIA Yes No <br /> ' Crain of Custody matches all sample labels? Do VCA vials contain zero headspace'� <br /> Yes "--Na (None submitted)Yes J No <br /> ANY "No" RESPONSE MUST <br /> - � - BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contaciec by Subject <br /> Comments <br /> 1 <br /> Acton Taken <br /> OTHER <br /> IDate Chen,Contacted Person Contacted <br /> Commenls <br /> I <br /> • <br /> f <br /> 1 <br />
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