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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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3032
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3500 - Local Oversight Program
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PR0544698
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Last modified
7/24/2019 4:17:28 PM
Creation date
7/24/2019 4:13:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544698
PE
3528
FACILITY_ID
FA0003678
FACILITY_NAME
BULK TRANSPORTATION
STREET_NUMBER
3032
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17702002
CURRENT_STATUS
02
SITE_LOCATION
3032 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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f! ii <br /> Argon Laboratories Sample Recei t Checklist <br /> Client Name: Geo Phase Env Date&Time Received: 08/11109 11:29 <br /> Project Name: Bulk Transport Client Project Number: 606.3 <br />{ Received By: HC Matrix: Water ❑ Soil 4" ❑ Sludge ❑ <br /> Sample Carrier: Client 21 Laboratory ❑ Fed Ex ❑ UPS ❑;; Other ❑ <br /> Argon Labs Project Number: J908022 <br /> Shipper Container in good condition? Samples received in proper containers? Yes E No ❑ <br /> i� <br /> NIA Yes [] No ❑ Samples received intacl? Yes [ No ❑ <br /> i <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample votumelor requested tests?Yes ❑ No ❑ <br /> 3� <br /> Chain of custody present? Yes 0 No ❑ Samples received within holding time? Yes 0 No ❑ <br /> 4' <br /> . Chain of Custody signed by alt parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> �} <br /> NIA 0 Yes ❑ No ❑ <br /> 4. Chain of Custody matches all sample labels? Do VOA vials contain zero e.adspace? <br /> i.J <br /> Yes No ❑ (None submitted Q ) Yes ❑ No ❑ <br /> v i" <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> 1 Date Client Contacted: Person Contacted: , <br /> Contacted By: Subject: <br /> Comments: <br /> h. <br /> Action Taken: hi <br /> ADDITIONAL TEST(S)REQUEST I OTHER'. <br /> Contacted By: Date: Time: <br /> Call Received By: 4 <br /> i Comments: <br /> r <br />
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