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3500 - Local Oversight Program
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PR0545272
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Last modified
1/31/2020 6:00:03 PM
Creation date
1/31/2020 4:30:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545272
PE
3528
FACILITY_ID
FA0006898
FACILITY_NAME
RAMOS OIL-FRENCH CAMP
STREET_NUMBER
10842
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333028
CURRENT_STATUS
02
SITE_LOCATION
10842 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> C? I <br /> Argon Laboratories Sample Receipt Checklist - -- <br /> Client Name: Lee&Pierce,Inc Date&Time Received: 9/6/2006 12:00 <br /> C1 Project Name: Beneto French Camp Client Project Number: EN-06516 <br /> I Received By: HC Matrix: water ❑ Soil 0 Sludge ❑ <br /> Sample Carrier: Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: G609005 <br /> Shipper Container in good condition? Samples received in proper containers? Yes .❑ No ❑ <br /> C -N/A_ Yes 'Q No ❑ Samples received intact? Yes .❑ No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> CChain of custody present? Yes No ❑ Samples received within holding time? Yes D No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> N/A ❑� Yes ❑ No ❑ <br /> C 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 /> C <br /> rComments: <br /> L <br /> CAction Taken: <br /> C <br /> ADDITIONALTEST(S)REOUESTIO <br /> ------ ---- — ----- <br /> Contacted By: Date: - Time: <br /> Call Received By: <br /> l Comments: <br /> LI `` <br /> 1 <br />
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