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ARCHIVED REPORTS_XR0002071
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_XR0002071
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Entry Properties
Last modified
1/30/2020 10:29:07 AM
Creation date
1/30/2020 8:54:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002071
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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Ar on Laboratories Sample Receipt Checklist <br /> Client Name Date&Time Received Z 1 l 1 1� -SO <br /> Project Name C' 3 <br /> Client Project Number <br /> Received By Matrix Water 1 Soil 1 <br /> Sample Camer Client I Labc)rqtnry I FedEx 1 UPS / <br /> Argon Labs Project Number <br /> Snipping Container/Cooter in good condition? Samples received in proper containers? Yea-- No <br /> NIA -�— Yes No Samples received intact? Yes No <br /> Samples received under refngeraGon? Sufficient sample volume for requested tests? <br /> Yes X No Yes 'r No <br /> Chain of Cus ody Present? Yes X No Samples received within holding time? Yes No <br /> Chain of Cus,ody signed by all parties? Do samples contain proper preservative? <br /> Yes X No NIA Yes%r No <br /> Chain of Custody matches alt sample labels? Do VOA vials contain zero headspace? <br /> Yes h No (None submitted)Yeses` No <br /> — - - — - - — -ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTIONBELOW <br /> i <br /> Da e Client Contactea Person Contacted <br /> Contacted by Subject <br /> Cori ments <br /> Accon Taken <br /> OTHER <br /> -- _ - - - - -- - - -- - - - - - - _ - - _ - - _ _ - - - -- - - - - - --- - - --- - - -- <br /> Ca'---Client Contacted Person Contacted <br /> Comments <br />
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