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ARCHIVED REPORTS XR0004316
EnvironmentalHealth
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1399
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004316
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Last modified
7/23/2019 11:45:28 AM
Creation date
7/23/2019 11:31:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004316
RECORD_ID
PR0544686
PE
3528
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
02
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\wng
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EHD - Public
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p)sckl Job Sample Receipt Checklist Report V2 <br /> 12/28/1999 <br /> Job Number 992705 Location 57218 Customer Job ID Job Check list Date 12/28/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br />' Customer IT Group Contact Rhonda Teicheira <br /> Questions 7 (Y/N) Comments <br /> Chain-of-Custody Present) Y <br /> If "yes", completed properly? Y <br /> Custody seal on shipping container? N <br />' If "yes", custody seal intact? N <br />' Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> tSamples chilled? Y 4 <br /> perature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank?. N <br /> Samples received intact (good condition)? Y <br />' VoLatiLe samples acceptable? (no headspace) N/A <br /> Correct containers used? Y <br />' Adequate sample volume provided? Y <br />' Samples preserved correctly? N/A <br /> Samples received within holding-time) Y <br /> Agreement between COC and sample labels? - Y <br />' open cooler radioactive screen at or below bkgrd? N/A <br /> Additional <br /> Comments <br /> lsmpLe Custodian Signature/Date Y <br /> Page 1 <br />
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