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ARCHIVED REPORTS XR0006663
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006663
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Entry Properties
Last modified
6/21/2019 6:18:36 PM
Creation date
6/21/2019 9:19:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006663
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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�I <br /> I <br /> LOGIN SAMPLE RECEIPT CHECK LIST <br /> I <br /> Client: Secor International, Inc. Job Number: 720-1251-1 <br /> Login Number: 1251 <br /> l <br /> 0 <br /> Question TIFINA Comment <br /> Radioactivity either was not measured or, if measured, is at or below background NA <br /> The coolers custody.seal, if present, is intact. NA <br /> The cooler or samples do not appear to have been compromised or tampered with. True <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> Cooler Temperature is recorded. True <br /> I <br /> COC is present. �� True <br /> COC is filled out in ink and legible. True <br /> COC is filled out with:hall pertinent information. True <br /> u There are no discrepancies between the sample IDs on the containers and the True <br /> COC, 11 <br /> Samples are received within Holding Time. True <br />:p Sample containers have legible labels. True <br /> Containers are not broken or leaking. True <br /> �~ Sample collection dateltimes are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. True <br /> There is sufficient voll-for all requested analyses, incl. any requested MSIMSDs True <br /> VOA sample vials doliinot have headspace or bubble is<6mm(114")in diameter. True <br /> If necessary, staff have been informed of any short hold time or quick TAT needs True <br /> Multiphasic samples are not present. True <br /> ji <br /> Samples do not require splitting or compositing. True <br /> I <br /> i <br /> I <br /> E. <br /> Ik <br /> It. <br /> �\STL San Francisco 1 Page 12 of 12 <br /> I1l. <br />
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