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ARCHIVED REPORTS XR0011184
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2185
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3500 - Local Oversight Program
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PR0544922
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ARCHIVED REPORTS XR0011184
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Entry Properties
Last modified
10/7/2019 3:37:38 PM
Creation date
10/7/2019 3:16:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011184
RECORD_ID
PR0544922
PE
3528
FACILITY_ID
FA0003284
FACILITY_NAME
FOOD MART GASOLINE*
STREET_NUMBER
2185
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14113045
CURRENT_STATUS
02
SITE_LOCATION
2185 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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F <br />' A-5 <br /> • Name and title of author, date and time of entry, and physical/environmental conditions <br />' during fiel,j activity <br /> • Location of sampling or measurement activity <br /> • Name(s) and title(s) of field crew <br />' • Type of sampled or measured media (e g , soil, ground water, air, etc } <br /> • Sample collection or measurement method(s) <br /> • Number and volume of sample(s) taken <br /> • Description of sampling point(s) <br /> • Description of measuring reference points <br /> • Date and time of collection or measurement. <br /> • Sample identification number(s) <br /> • Sample preservative (if any) <br /> • Sample distribution (e g , laboratory) <br />' • Field observations/comments <br /> • Field measurements data (pH, etc } <br /> 4 1 4 Chain-of-Custody Record <br /> A chain-of-custody record was filled out for and accompanied every sample and every shipment <br />' of samples to the analytical laboratories in order to establish the documentation necessary to <br /> trace sample possession from the time of collection The record contained the following <br /> information: <br />' • Sample or station number or sample I D <br /> P P <br /> • Signature of collector, sampler, or recorder <br />' • Date and time of collection. <br /> • Place of collection <br /> t • Sample type <br /> • Signatures of persons involved in the chain of possession <br /> • Inclusive dates of possession <br />' The laboratory portion of the form was completed by laboratory personnel and contains the <br /> following information <br />' • Name of person receiving the sample <br /> • Laboratory sample number <br /> • Date and time of sample receipt <br />' • Analyses requested <br /> • Sample condition and temperature <br />' 4 1 5 Sample Transfer and Shipment <br /> Samples were always accompanied by a chain-of custody record When transferring samples, <br /> the individuals relinquishing and receiving the samples signed, dated, and noted the time on the <br /> chain-of-custody record Samples were packaged properly for shipment and dispatched to the <br /> 1 ' <br />
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