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ARCHIVED REPORTS XR0004320
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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EHD - Public
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J <br /> LAD CORE LABORATORIES <br /> jsck[ Job sampte Receipt ChecklistReport V2 <br /> 06/08/1999 <br /> Job Number 991022 Location 57218 Customer Job ID Job Check List Date 06/08/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Protect Manager tas <br /> Customer IT Group Contact Shelby Lathrop <br /> Questions ? (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If "yes", completed praperly7 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 /> Samples chilled? Y 2 <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) Y <br /> Correct containers used? Y <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? Y <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample labels? Y <br /> Open cooler radioactive screen at or below bkgrdl <br /> Additional <br /> Comments <br /> ple Custodian Signature/Date Y <br /> Page 1 <br /> ! sb Y1 I" wlrnv c n n!r r,To, 1,.c.l b d tl co!tlur!avsc[ s nm n s!ro r ma ly!cal <br /> r nt inti,�i!u on oy nre em!on <br /> au w3 Ilry�3sl ludB Inl Gn eLabn r 4C rrru yl W a�6onrslY�sc.ii SSaxx as torE ry pn1 o Oort rnr v99 of <br /> Ul 9 s r u D olf IV wel!nr r 41 n m R wr C G [u 1 s N W ! dny wr 6omr fl nM! r of r u W v Da N ❑o w lir r p U a of Cn LOW o as <br />
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