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ARCHIVED REPORTS XR0011890
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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7675
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3500 - Local Oversight Program
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PR0544802
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ARCHIVED REPORTS XR0011890
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Entry Properties
Last modified
11/19/2024 10:19:08 AM
Creation date
9/4/2019 11:46:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011890
RECORD_ID
PR0544802
PE
3528
FACILITY_ID
FA0005153
FACILITY_NAME
FAYETTE MANUFACTURING CORP
STREET_NUMBER
7675
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25014012
CURRENT_STATUS
02
SITE_LOCATION
7675 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> A / ji'�Jv' '/Client <br /> Name:f���— 1Tc�` —u �L1/l�- Date&Time Received: <br /> Project Name: l^IC,L PV-r- Client Project Number. <br /> Received By: f1 Matrix: Water Soil ❑ Other <br /> Sample Carrier: Client Laboratory ❑ Fed Ex ❑ \UPS ❑ Other ❑ <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No <br /> N/A ❑ Yes ( No ❑ Samples received within holding time? Yes [ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservative? <br /> J NIA ❑ Yes No <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> N/A ❑ Yes No <br /> Chain of Custody signed by all parties? Yes [ No ❑ VOA vial as. vative type: <br /> HCl Na2S203 ❑ O etheth r I It,�4�e' <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes No ❑ <br /> Sampies received in proper containers?Yes No ❑ X Samples received intact? Yes No <br /> r / <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: �/y.� U`i O��,S r t. /� ra ` zo l A;f C,LA-e,� �'ys�S <br /> klAction Taken: <br /> N <br /> .f <br />
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