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ARCHIVED REPORTS XR0003369
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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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003369
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Entry Properties
Last modified
6/24/2019 2:29:02 PM
Creation date
6/24/2019 1:31:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003369
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Committed Ji lour Surress <br /> rpjsckl — Job Sample Receipt Checklist Report V2 <br /> 12/02/1999 <br /> Joe Number.....: 992525 Location.: 57218 Customer Job ID...... Job Check List Date.: 12/02/1999 <br /> Project Number.: 97000260 Project Description.: Southland - Martinez Project Manager. ...,• tas <br /> Customer.......: IT Group Contact.: Rhonda Teicheira <br /> Questions ? _ — -- - - -- --_—_ <br /> (Y/N) Comments <br /> Chain-of-Custody Present?......................... Y <br /> .. .If "yes", completed properly?.................. Y <br /> ' Custody seal on shipping containe-?........ N <br /> .. .If "yes", custody seal intact?................. N <br /> Custody seals on sample containers?............... N <br /> ...If "yes", custody seal intact?............... <br /> .. N <br /> Sar-roles chilled?.. . .. ............ ............ ..... Y 3 <br /> OTC-qn-r-oLur-C of race.- :.:cccp"able7 (4 deg C +/- 2). Y <br /> Tera-perature measurec fror lcmperc-uru blank?. . .... N <br /> Samo:" s receive-❑ intuct (good corLJition)?.... . ... . Y <br /> VO.a[ile samples acceptable? (no ^cadspacc)....... Y <br /> Correct containers ? <br /> used ........... y <br /> Adequate sample vfliume provided?. .. . .. ...... . ... Y <br /> I <br /> Sar-:ples preserved c o re c ly?.. .. . . . . .. ....... .. ... Y <br /> Sinates receive.❑ W1--i , hnluing-tirne?.. . .... . . . ... Y <br /> AO-eernert heiwC,cn LC_ Gird sample labets?. . . . <br /> Opp.,' Cooler FId;,':: - :vo screen at or below bkgrd?, <br /> 1 <br /> Acd'tionul . <br /> . .. ... . ... .. ... <br /> eoirments. . . . . . . . .. . . . . . . . . . . <br /> zwolr, Cus-odiac Si,;narure/Date-. Y <br /> Page 1 <br /> a part of <br />
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