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ARCHIVED REPORTS XR0013014
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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3500 - Local Oversight Program
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PR0544793
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ARCHIVED REPORTS XR0013014
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Entry Properties
Last modified
11/19/2024 10:19:10 AM
Creation date
9/3/2019 1:22:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013014
RECORD_ID
PR0544793
PE
3528
FACILITY_ID
FA0006237
FACILITY_NAME
HONEST AUTO SALE AND REPAIR
STREET_NUMBER
595
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23337004
CURRENT_STATUS
02
SITE_LOCATION
595 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Mccampbell AnaJjfiLc,-wjIj Inc. 153d Willow Pa.,;.q Road PiW)uqj,CA 1)4565 1701 <br /> Web www.m—,upbul,om R.ai iii�mi in(yhii cc all,Pbe I�.cnni <br /> '%Viy6l I-AMIJI CIAMILI" <br /> Sample Receipt cheeldist <br /> Client Name: Wright Environmental Daie and Time Received' 614107 7-16:39 PM <br /> project Name: Ed's Muffler Checklist completed and reviewed by: Melissa Val[ts <br /> Worl(Order N'; 0705161 Matrix Soil Carricr: Der*C-attan(MAI Courier) <br /> Chain OfCy <br /> Chain oftustody present? Yes No❑ <br /> Chain of custody signed where relinquished and received? Yes Q 4. ❑ <br /> Chain of custody agrees with sample label-? Yes 0 wo❑ <br /> Sample IDs noted by Client on COC? Yes ri,,❑ <br /> Date and Time of 00100on noted by Client on CCC? Yes DIo ❑ <br /> Sampler's narne noted on COC,' Yes No El <br /> Sample Receipt rnati�oq <br /> ._p_ _ <br /> Custody seals intact on shipipping container/cooler? Yes 1-1 NI, PI HA <br /> Shipping container/cooler in good conditicn? Yes 0 t 1, <br /> Samples in proper containers/bottles? Yes 2 No El <br /> Sample containers intact? Yes 91 No 11 <br /> Sufficient sample volume for indicated test? Yes ov 1d0 ❑ <br /> Sample Preservation q_nd Hold Time;LET)lrjf-Q-rmQti0n <br /> All samples received within holding time? Yes 10-7 No El <br /> Container/Temp Blank temperature Cooler Temp: NA <br /> Water-VOA vials have zero hoadspaco/no bubbles? Yes Ij Mc El No VOA vials submitted <br /> Sample labels checked for correct preservation.? Yes <br /> TTLC Metal-pl-I acceptable upon receipt(pHe2)? yes NA <br /> —---———————————————— <br /> ----------- -------------------------- --------- <br /> Client contacted: Date contacted: Contacted by: <br /> Commenis: <br />
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