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3500 - Local Oversight Program
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PR0544826
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Last modified
9/13/2019 8:49:57 AM
Creation date
9/12/2019 4:56:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544826
PE
3528
FACILITY_ID
FA0003757
FACILITY_NAME
LMG STOCKTON INC
STREET_NUMBER
530
Direction
E
STREET_NAME
MARKET
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
14913018
CURRENT_STATUS
02
SITE_LOCATION
530 E MARKET ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Ar on Laboratories Sam le Recei t Checklist <br /> Client Name: �r�.r.c� 1 ',SDate&Time Received:03 /avo /J3 = . ( io <br /> Project Name: `hQ, �-� Client Project Number. <br /> Received By: Matrix: Wates Soil ! <br /> Sample Cater: Client / aborato / FedEx / UPS / <br /> Argon Labs Project Number: <br /> Shipping Container!Coder in good condition? Samples received inr <br /> p oper containers. Yes No <br /> WA Yes No Samples received intact? Yss/V No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes N0 Yes No <br /> Chain of Custody Present? Yes,--'e— No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No N/A Yes No <br /> Chain of Custody matches all sam lep Fels? Do VOA vials contain zero headspace? <br /> Yes�'No (None submitted_ es No <br /> — - - — - - — <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 /> - - - - - - - . _ - . . - - - - - - - -OTHER - -Date Client Client Contacted: Person Contacted: <br /> Comments: <br />
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