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ARCHIVED REPORTS XR0004320
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 XR0004320
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Entry Properties
Last modified
7/23/2019 11:45:24 AM
Creation date
7/23/2019 11:33:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004320
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
Tags
EHD - Public
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TA.B CORE LABORATORIES <br /> �sckl V2 <br /> 05/19/1999 <br /> Job Number 990890 Location 57218 Customer Job ID Job Check List Date 05/19/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Shelby Lathrop <br /> Questions I (Y/N) Comments <br /> 1 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' Y <br />' If "yes", custody seal intact? Y <br /> Samples chilled? Y <br /> Temperature of cooler acceptable' (4 deg C t/- 2) Y 2 <br /> Temperature measured from temperature blanks N <br /> Samples received intact (good condztion)7 Y <br /> Volatile samples acceptable? (no headspace) N N/A <br /> Correct containers used? Y <br />' Adequate sample volume provided' Y <br /> Samples preserved correctly? N 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 <br />' Additional <br /> Comments <br /> nple Custodian Signature/Date Y <br /> Page 1 <br /> Tey analyl raj a 11s Ppin...Pr n[e F eI al Ih s e[w t a e oasey r.pan nldmanan ono mdl.,,.I.,prep Pyr I Gllenl mr—1,"fl GW VMd aid{gmgPnl al Pse rn5 aPM1 bai 0 en mage Toe anaiyl cal as[[s oP ry na IX nla pSela bona <br /> a A esaed oea o I the bast.4-1 <br /> r Cw Lana a1w as Coro Labo a[w es Mw mbkes a w antY a ep esenlalo aaPraas or mPuetl PI any tvPs am e P e551v o scla ms aeme as IP 1h P Po "Papa oPara ers o P of taGlenes3 of <br /> any oA qa5 t PtMlr m na al P ell p aa�0 n[pnnxtl On wln+ .1 repo 1 a[SPtl o elect 15 SPn wlutaoerer T.,epo I shall-1 be ep -0 o n Part w 1M1 1 the w rt1e Co a LeW dl W as <br /> f <br />
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