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ARCHIVED REPORTS_XR0002064
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1120
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3500 - Local Oversight Program
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PR0545244
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ARCHIVED REPORTS_XR0002064
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Last modified
1/30/2020 10:34:36 AM
Creation date
1/30/2020 8:50:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002064
RECORD_ID
PR0545244
PE
3526
FACILITY_ID
FA0024606
FACILITY_NAME
FORMER KNOWLES STATION
STREET_NUMBER
1120
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07749027
CURRENT_STATUS
02
SITE_LOCATION
1120 W HAMMER LN
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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xl <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name Ground Zero Analysis Date&Time Received 2/2212005 1525 <br /> Project Name Knowles Hammer Lane Client Project Number 95-013 <br /> Received By E P Matnx Water Sod ❑ <br /> Sample Carver Client ❑ Laboratory [] Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number F02441 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Cham of custody present? Yes ❑' No ❑ Samples received within holding W0 Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 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!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br />
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