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ARCHIVED REPORTS XR0007060
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EIGHT MILE
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11530
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2900 - Site Mitigation Program
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PR0541077
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ARCHIVED REPORTS XR0007060
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Entry Properties
Last modified
7/10/2019 7:34:32 PM
Creation date
7/10/2019 10:19:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007060
RECORD_ID
PR0541077
PE
2960
FACILITY_ID
FA0023517
FACILITY_NAME
PS MARINA 5 / KING ISLAND RESORT
STREET_NUMBER
11530
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
07119006
CURRENT_STATUS
01
SITE_LOCATION
11530 W EIGHT MILE RD
P_LOCATION
01
QC Status
Approved
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Tags
EHD - Public
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Ar on Laboratories Sample Receipt Checklist <br /> rs <br /> Client dame <br /> Date&Time Received 1 S <br /> /5 50 <br /> P,oiactName A5iyuc <br /> NYU ' Client Protect Number St (�2 <br /> `ec&vea 9y Matrix /.Water Y Soil 1 <br /> Sample Camer Client 1 aborato 1)FedEx 1 UPS 1 <br /> Argon LaDs Protect Number f <br /> Snipoing Container 1 Cooter in good condition? Samples received in proper containers? Yes-,,L <br /> No <br /> WA X Yes No Samples received intact? Yesk No <br /> Samples receivers under refrigeration? Sufficient sample volume for requested tests? <br /> Yes X No Yes No <br /> Cham of Custody Present? Yes Y No Samples received within bolding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes )� No NIA Yes 1C No <br /> :,hain of Custody matches ail sample labels? Do VOA viais contain zero headspace? <br /> Yes-Y No (None submitted„ )Yes k No <br /> ANY "No" RESPONSE MUST BE DETAILED 1N THE COMMENTS 9ECT10N BELOW <br /> - - -- - - - - - - - - -- - - - - - - - - - - - -- - - -- - - - - - -- - - - - - -- _ - - <br /> Date Client Contacted IIIIEZ, 2 Person Contacted <br /> Contacted by r't` Subject <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted /0 Z, - - - - - a- - - - - + - - - - - - - <br /> Person Contacted ---) }}N rIm <br /> Comments t CL , Lam- �UE��~ � <br />
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