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ARCHIVED REPORTS XR0010016
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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612
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3500 - Local Oversight Program
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PR0544794
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ARCHIVED REPORTS XR0010016
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Entry Properties
Last modified
11/19/2024 10:19:02 AM
Creation date
9/3/2019 2:14:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010016
RECORD_ID
PR0544794
PE
3528
FACILITY_ID
FA0013337
FACILITY_NAME
SOUZA II LLC (VACANT LOT)
STREET_NUMBER
612
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23439018
CURRENT_STATUS
02
SITE_LOCATION
612 W ELEVENTH ST
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> SClient Name (5;Z-00 KJ-D Z-5v-e}1rjA L.y s 15 Date&Time Received l z 13 I z rZ <br /> Project Name J C�� � r J Client Project Number -[ <br /> Received By Matnx _ Soil 1 <br /> Sample Camer lie Laborato ! FedEx I UPS t <br /> Argon Labs Project Number 0 12-0 2 1 <br /> Shipping Container/Cooler in good conation? Samples received in proper containers? Yes X No <br /> N/A-,,—X Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes/ No Yes X No <br /> Cham of Custody Present? Yes x No Samples received wthin holding Ume? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No NIA YeX No <br /> Chain of Custody matches all sample labels? Do V0A orals contain zero headspace? <br /> Yes X No (None submitted )Yes No <br /> ANY"No" RESPONSE MUST BE DETAILED IN THE COMMENTS'SECTION BELOW <br /> • Date Client Contacted - - - _ _ �. - - _.., - - - - - _,-.- „ - - „ - - - - - - - _,,, - - - _ - - _ - - <br /> Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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