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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARLAN
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15688
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3500 - Local Oversight Program
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PR0545274
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Last modified
1/31/2020 6:05:52 PM
Creation date
1/31/2020 4:38:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545274
PE
3528
FACILITY_ID
FA0018313
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15688
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620077
CURRENT_STATUS
02
SITE_LOCATION
15688 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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LOGIN SAMPLE RECEIPT CHECK LIST <br /> Client: H2OGeol Job Number: 720-9207-1 <br /> Login Number: 9207 <br /> r <br /> Question T/F/NA Comment <br /> Radioactivity either was not measured or, if measured, is at or below background NA <br /> The cooler's custody seal,if present,is intact. NA i <br /> The cooler or samples do not appear to have been compromised or tampered with.. True <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> Cooler Temperature is recorded. - True <br /> COC is present. True <br /> COC is filled out in ink and legible.- True <br /> COC is filled out with all pertinent information.:. True <br /> There are no discrepancies between the sample IDs on the containers and the True <br /> COC. <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True <br /> Containers are not broken or leaking. True <br /> I <br /> Sample collection date/times are provided. True l <br /> Appropriate sample containers are used. _ True <br /> Sample bottles are completely filled. True <br /> There is sufficient vol. for all requested analyses, incl. any requested MS/MSDs True <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in diameter. True <br /> If necessary, staff have been informed of any short hold time or quick TAT needs True <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or compositing. True - <br /> STL San Francisco - page 20 of 20 <br />
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