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ARCHIVED REPORTS_REMEDIAL ACTION PLAN
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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14821
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2900 - Site Mitigation Program
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PR0518596
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ARCHIVED REPORTS_REMEDIAL ACTION PLAN
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Entry Properties
Last modified
1/27/2020 9:01:16 AM
Creation date
1/27/2020 8:25:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
REMEDIAL ACTION PLAN
RECORD_ID
PR0518596
PE
2960
FACILITY_ID
FA0013993
FACILITY_NAME
TRACY PUMP STATION
STREET_NUMBER
14821
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20919006
CURRENT_STATUS
01
SITE_LOCATION
14821 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Page 26 of 26 <br /> vlr'orrm ard81 n <br /> aaaR <br /> ratortes, Inc. WORK ORDER 11 -05-0 El LLI t <br /> • I WTI <br /> SAMPLES - CONTAINERS & LABELS: , <br /> Comments: <br /> ❑Sample(s)/Container(s) NOT RECEIVED but listed on COC (--) 8) /Attded or S , <br /> ❑Sample(s)/Container(s) received but NOT LISTED on COC s6-3&-S d <br /> El Holding time expired -list sample ID(s)and test ffI � 64,Ls <br /> ❑ Insufficient quantities for analysis - list test <br /> ❑ Improper container(s) used- list test <br /> ❑Improper preservative used - list test <br /> ❑No preservative noted on COC or label- list test& notify lab <br /> ❑ Sample labels illegible- note test/container type <br /> f 2`Sample label(s) do not match COC-Note in comments <br /> fa'Sample ID <br /> ❑ Date and/or Time Collected <br /> ❑Project Information <br /> ❑# of Container(s) <br /> ❑Analysis ' <br /> ❑Sample container(s) compromised - Note in comments <br /> ❑Water present in sample container <br /> ❑ Broken <br /> ❑Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised - Note in comments <br /> ❑ Flat ' <br /> ❑Very low in volume <br /> ❑ Leaking (Not transferred - duplicate bag submitted) , <br /> ❑ Leaking (transferred into Calscience Tedlar°Bag") <br /> ❑ Leaking (transferred into Client's Tedlar® Bag`) <br /> ❑Other: <br /> HEADSPACE - Containers with Bubble > 6mm or% inch: <br /> Sample# Container #ot Vials Sample# Container 10(s) qoi Vials Sam le# Container qof Cont. , <br /> 10(s) Received Received p Analysis <br /> 10(s) received <br /> Comments: ' <br /> 'Transferred at Client's request. <br /> Initial / Date: 1'-05 / Y/11 <br /> SOP T100_090(09117110) <br />
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