My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WORK PLANS
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HOLLY
>
2421
>
3500 - Local Oversight Program
>
PR0545285
>
WORK PLANS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/3/2020 12:37:25 PM
Creation date
2/3/2020 11:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
64
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Ar on Laboratories Sample Recent Checklist <br /> Client Name: ATL„ A55be-t Date & Time Received, o5 1 t3 I oz <br /> Project Name: ��MOS 7poQ _ Client Project Number: 5Zo S t _O�QZ <br /> Received By: <br /> Matrix: ater 1 oil 1 <br /> Sampie Carrier: Client Iaborato FedEx 1 UPS 1 <br /> Argon Labs Project Number: G �j <br /> Shipping Container 1 Cooler in good condition? Yes No NIA ✓ <br /> Samples received under refrigeration? Yes �No <br /> E' <br /> Chain of Custody Present? Yes 4/ No <br /> Chain of Custody signed by all parties? Yes t✓No <br /> Chain of Custody matches all sample labels? Yes ✓ No <br /> Samples received in proper containers? Yes +/ No <br /> Samples received intact? Yes ✓ No <br /> Sufficient sample volume for requested tests? Yes ✓No <br /> Samples received within holding time? Yes +✓ No <br /> Do samples contain proper preservative? Yes ./ No NIA <br /> Do VOA vials contain zero headspace? Yes✓No (None submitted <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW i <br /> Date Client Contacted: Person Contacted: <br /> F <br /> Contacted by: Subject: <br /> Comments: <br /> I <br /> Action Taken: <br /> i <br /> 1 <br />
The URL can be used to link to this page
Your browser does not support the video tag.