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ARCHIVED REPORTS XR0010024
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 XR0010024
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Entry Properties
Last modified
11/19/2024 10:19:02 AM
Creation date
9/3/2019 2:15:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010024
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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Ar on Laboratories Sam le Receipt Checklist <br /> . Client Name _ Date & Time Received <br /> Project Name s �T L t— Client Project Number <br /> Received By Matnx _ager 1 soil/ <br /> Sample Camer Client I aborato FedEx 1 PS 1 <br /> Argon Labs Project Number <br /> Shipping Container I Cooler in good condition? Yes No NIA ✓ <br /> Samples received under refrigeration? Yes ✓ No <br /> Cham of Custody Present? Yes ✓ No <br /> Chain of Custody signed by all parties? Yes `� No <br /> Cham of Custody matches all sample labels? Yes No <br /> Sampies received in proper containers? Yes t✓ No <br /> Samples received intact'? Yes? No <br /> Sufficient sample volume for requested tests? Yes 1) No <br /> Samples received within holding time? Yes ` No <br /> Do samples contain properpreservative? Yeses_ <br /> � No NIA <br /> Do VOA vials contain zero headspace? Yes No (None submitted_ <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Acton Taken <br />
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