My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0004443
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
419
>
3500 - Local Oversight Program
>
PR0545347
>
ARCHIVED REPORTS_XR0004443
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/6/2020 4:42:39 PM
Creation date
2/6/2020 3:45:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004443
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
45
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
Argon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies Date&Time Received: 1212912004 14:50 <br /> Project Name: Bo�ett Manteca _ Client Project Number: 37610 <br /> Received By: M.G. Matrix: Water -0 Soil ❑ <br /> Sample Carrier: Client Q Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon labs Project Number: E12721 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No [❑ <br /> NIA Yes [] No ❑ Samples received intact? Yes (] No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 0 No Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes [f No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspaoe? <br /> Yes No ❑ (None submitted ❑ ) Yes PI No ❑ <br /> ANY"No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: —` T—y Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST/OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />
The URL can be used to link to this page
Your browser does not support the video tag.