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ARCHIVED REPORTS_XR0013090
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HOLLY
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20500
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3500 - Local Oversight Program
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PR0541264
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ARCHIVED REPORTS_XR0013090
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Entry Properties
Last modified
2/3/2020 10:02:06 PM
Creation date
2/3/2020 9:50:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013090
RECORD_ID
PR0541264
PE
3528
FACILITY_ID
FA0023641
FACILITY_NAME
FORMER HOLLY SUGAR FACILITY
STREET_NUMBER
20500
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
20500 HOLLY DR
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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f <br /> E ' <br /> Ar on Laboratories Sam le Receipt Checklist <br /> Client Name: Ground Zero Analysis Date&Time Received: 02/18/11 12:12 <br /> Project Name: S reckfes Sugar Client Project Number: 848 <br /> Received By; MG Matrix: Water ❑ Soil 0 Sludge ❑ <br /> Sample Carrier: Client [] Laboratory ❑ Fed Ex ❑. UPS' ❑ Other ❑ <br /> Argon Labs Project Number: L102031 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes ❑ _ No ❑ Samples received intact? Yes Q No ❑ <br /> I <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No ❑ l <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NIA [�] Yes ❑ No ❑ ' <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes E] No ❑ ❑ <br /> (None submitted [�]) . Yes ❑ No <br /> A <br /> -------NY"No"RESPONSE MUST BE DETAILED INTHE COMMENTS SECTION BELOW <br /> ------- { <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> i <br /> I <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST f OTHER <br /> -7- -------------------- -- --------------- j <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> 6 <br /> 1~ <br />
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