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FIELD DOCUMENTS
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2900 - Site Mitigation Program
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PR0536222
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Last modified
9/5/2019 9:01:04 AM
Creation date
9/5/2019 8:44:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0536222
PE
2953
FACILITY_ID
FA0020812
FACILITY_NAME
RESIDENCE
STREET_NUMBER
1336
STREET_NAME
ESCALON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22706109
CURRENT_STATUS
01
SITE_LOCATION
1336 ESCALON AVE
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Ground Zero Analysis Dale&Time Received: 04/20/11 14:20 <br /> Project Name: Langum Client Project Number: 852 <br /> Received By: M.G. Matrix: Water ❑ Soil E Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L104039 <br /> Shipper Container in good condition? Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes EJ No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes 0 No ❑ <br /> Chain of custody present? Yes F±1 No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> N/A Q Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted Yes ❑ No ❑ <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 /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />
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