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SU0004126
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QX-91-0005
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SU0004126
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Entry Properties
Last modified
6/27/2024 9:08:38 AM
Creation date
9/4/2019 10:27:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004126
FACILITY_NAME
QX-91-0005
STREET_NUMBER
35656
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
35656 S BIRD RD
RECEIVED_DATE
11/18/1997 12:00:00 AM
QC Status
Approved
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SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\B\BIRD\35656\QX-91-05\SU0004126\PUB REC REL APPL.PDF
Tags
EHD - Public
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t'E;L. ;riztrrrnnrtntal Doc EI): F REC'00`005 <br /> Revision I)mv; 2/13/09 Page: I of I <br /> Stocktoti - C owlitiotl l poo Receipt (Attach to COQ <br /> Sample Receipt ,at 'A']r: <br /> I . '\attliber of ice chews1);1cknges ri`C'ily l: <br /> Wc;c siimpics t"c.°ccitied i:i is chilled condition's <br /> ACCepUble to A= frcczmg to 6° C. ,disc:accep(,ible is rccci}cd o❑ ice (ROI) Cor rile sarrre daY of sarn:pling or <br /> rL eiti c;i ar ruonl (KK f') ii samPIL:d 011e hour of i�cuip€. Client s;orrtact for tempenwwtr failures <br /> MUSt bC ilocuriwiitcd below. A nl.ir4 packages aw muCM at mile time che:k fol 1�5t5JI"I.I'.'slrrlsllc:5'�aet15 10 <br /> Phoritw ;r,':?:e-rck is m. inew irolIQ NAcrAi:llu,Pci-Solincl imit.ei.iately of ba s .�nl�lcs,�cei'ed- <br /> Do tix-, nc:nlf�er cif bottics received aDve wAh We COM '1 c`� No N/A .. <br /> 4. %Vere samples rcccived iniad•? ('is. no brol"m bwOes. ]irks etc.) e5 No <br /> VOAs C'•.tckcd Iter" 1 le;:IdSj�ai:i:'? Yes No ;k/\ <br /> I ? WTC i;,.3';il)lc .itt;l{iv s� al> irnai�:'' Yen N0 <br /> QVI: <br /> Sign and elate flit COC, place in a Q lock.and pial in the same ice chest *0101,ples. <br /> r <br /> Sampla Reccipt ReOew cuniMc d by (irzrtwk): <br /> Sampler ]ZC4t:i])t fit SP: <br /> l <br /> 1. tt"ere ;:r,n: les 3 e eit' d in. chilled condition., T,2n1P-,: <br /> I ,_ <br /> :LCi:CI;I'J;)It i'= 3bC1tiC Ming to CJn � " II 'iilelliy 17u.1Ctitig[s are rZCCIvCC] ut Or1e tlmC ChCC}: for <br /> tests III .• trusheAKcu's to jonoritize further- rcf view. Please notify Nlierobiology personne; <br /> rrllrttedEafc'.• of <br /> Do the il'.3r:':b r of twit!;:; recciticc. :aLZr12C sith the COC'? _ N,o ?tiUA <br /> We snmr Icy;received V=P Ox. no) broken Attle5, leaks etc.] �"es No <br /> 41. W<ro saimple. :ustody <br /> i Sign and d::te the COC. obtain .I 15 s,]rarple nunlbus, se]ect metho€]s/iests and grin] labels. � <br /> j <br /> p]C. WHI-t':attoll, I:.theling mid Distt•ibution, �. <br /> 1 Werc all rc:ojucstcd anai.YSCs Un(Ta•stood and acc eptn blr`' Y7e5 bio <br /> i • <br /> i.td i:)oo& labAs cmwgwKd wch the clams I1) A l'es Biu <br /> �e"err :al! tl�;trl:Ts rcc"uirin� ;�r�?7le )rz�5cr alum l lcrE lrtservecf'_ Ie No tilA FC;L <br /> t I I P"c t `Y r <br /> +. `t�(�l;�ti C'1CCk"ii (iJf e:_d.,_,.:,.:i.r �•CS �O 3"1:� J <br /> Won I'll anaNws ••!Millin halc;Q times at :me of nwiln? �40 <br /> i <br /> '.. I Env ;M or- prt.lew duc ._aws Ron Aecked and avepwd'.1 'es N o <br /> c4f,I I n� <br /> ! \ttac it Iafr::, 'fa the inr:raincrs ane: include a copy 00he COC for lab dt ]hvvey" <br /> E � <br /> E y..lmQe ReccWr 1_,.r�7,rtl and Vcr:ti;-,azion cornphetei by (initials): <br /> e <br /> I <br /> Disci,ep.mc5 Docurnent:itiow <br /> Anv cams abm: "laich ars• -tics. oI do not r.u_i Sp.ci(.c.rli:n Ir.c'. tasrrlpS) i?'ust b;' re_cil~,'cd. <br /> I <br /> ;. P�•rsv�a C,�clntac[�;I: rfiut�c \clrt+ber: <br /> I <br /> tt c,c,r.n,,,,, :• :--_"tet;:�a' <br /> consul " <br /> STY1034547 <br />
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