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ARCHIVED REPORTS_XR0002033
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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1210
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3500 - Local Oversight Program
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PR0545245
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ARCHIVED REPORTS_XR0002033
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Entry Properties
Last modified
1/30/2020 3:16:51 PM
Creation date
1/30/2020 10:43:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002033
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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st:oa�lzihcas Peke 5 <br /> • The laboratory portion of the fora should be completed by laboratory personr-el and will cantata the <br /> followmg, informawn <br /> • Narx of person receiving tae sample <br /> • Laboratory sample nurnbcr <br /> • Dare acd time of sample receipt <br /> • Analyses me nested <br /> • Sample condition and temperature <br /> D l 5 Sample Transfer and Shn2rne>at <br /> A chain-of-custody record%ill alwafs accompany szmples When transferrirg sa rrples, the individuals <br /> relinquishing and receiving the samples will sign, date, and note the time on OF cha.n-of-custody record <br /> Samples will be packaged grope-ly for shipment and dispatEhad to the apprcpraZe laboratory for analysts <br /> The chain of-curcdy record vrIl accompany each shipment Tbc method of s!--=ent tour ter name(s), <br /> and other pertinent eormatioe w,ll be entered in the chain-cf-custdv rmcrd <br /> D 2 Laboratory Custody Procedures <br /> A designated sample custcd it wi'l accept eustedv of the slz Aped samples and �eri-y tnat the inforrnat.en <br /> on the sample label ma-ches that on the chain-0f-c-stody record In or=Lcr rga-ding method of <br /> delivery acd sample conditions will also be checked on illi cha.ri-0t-custody re-c-erd The custodian v.-II <br /> then enter the apnropnaic data mto the laboratory sample tracking s,s'em T'-'z lareratory custodianrmu <br /> use tlse sample number on the samp a label or may assign a uligi.e laboratory fii-nber to each sample <br /> The custodian wd then transfer the sample to the proper analyst or sere the s amp'e in the appreprtare <br /> secure area <br /> Laboratory personnel ate:espotmble for tae care and custody o'sarnp,es frorr tze tune they are rece ved <br /> tionl the sample is exhausted Once at the laboratory, the sariples will be handled tri accordance with <br /> U S Environmental Protection Agency SIN-846 Test Methods for EvalLaLrg Sal:d Waste <br /> Plays:callChnnical Methods, 'Third Edition, for the intmdrd anallses A:1 dna sbeets, ehrornatographs, <br /> and Iaboratory records will be filed as part of the perma=t dociirremat.o^ <br /> D 3 Corrections to Documentation <br /> Origins] data recorded to field notebooks, chain-of-custody records sampling information sheets, and <br /> other fomes should be v4riren n Mk These docurrnents should not be altered, destroyed, or discarded <br /> esen if they are illegible cr certain inaccuracies that require a replace=rit decurrent <br /> Lf an erro- is made or found on a documen% the individaa! making the eorrecLons will do so by crossitg a <br /> single line throcgh the error, entering the correct information, and inhaling and dating the &.inge The <br /> erroneous information will be ohliterated Any subsequent error(s) discovered on a document will be <br /> corrected All corrections will be iriaaled and dated <br /> D 4 Sample Storage and Disposal <br /> The aj:Wl tical laboratory saould retain samples and extracts for 66 days a'L-r the laboratory issues a <br /> nriren report Lmess notified by the program manager, eues-,or unused saraple9 should be disposed of <br /> by the laboratory ui an appropriate manner consistent with applicable governmcnl regulations <br />
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