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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544571
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Last modified
6/25/2019 8:29:57 AM
Creation date
6/25/2019 8:11:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544571
PE
3528
FACILITY_ID
FA0000214
FACILITY_NAME
PILKINGTON NORTH AMERICA INC PLANT 10
STREET_NUMBER
500
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330-9739
CURRENT_STATUS
02
SITE_LOCATION
500 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name: cE-1 Date&Time Received: o" /oZ / 03 i• :/5 <br /> Project Name: _pior< c,c-,- saes-r' g A ncrvClient Project Number:_ Sts/J <br /> Received By: Ptt Matrix: a er / Soil / <br /> Sample Carrier: Client / a ofL"�ra-Fo►v-/ FedEx / UPS / <br /> Argon Labs Project Number. pcn o t <br /> Shipping Container/Caoler in good condition? Samples received in proper containers? Yes y_ No <br /> N/A--�(_Yes No Samples received intact? Yes <br /> _) No " <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes Y No Yes k No <br /> Chain of Custody Present? Yeses_ No Samples received within holding time? Yes_x_ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yeses_ No N/A Yes No <br /> Chain of Custody matches all sample labels? <br /> P Do VOA vials contain zero headspace? <br /> Yes x No (None submitted_)Yes�e 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 /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br />
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