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ARCHIVED REPORTS_XR0003149
EnvironmentalHealth
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I
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3500 - Local Oversight Program
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PR0545309
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ARCHIVED REPORTS_XR0003149
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Entry Properties
Last modified
2/11/2020 11:48:19 PM
Creation date
2/11/2020 9:17:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003149
RECORD_ID
PR0545309
PE
3528
FACILITY_ID
FA0010339
FACILITY_NAME
H&H ENGINEERING CONST INC
STREET_NUMBER
212
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206-3920
APN
17728019
CURRENT_STATUS
02
SITE_LOCATION
212 INDUSTRIAL DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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- r <br /> 1 <br /> Argon Laboratories Sample Receipt Checklist <br /> ' C' A5, -- F Client Nam u `SDate&Time Received 1 Z •*GQ <br /> Project Name �(� uir �_ Client Project Number <br />' Received By Matrix Water ❑ Soil ❑ Other <br /> Sample Camer Client [V,Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number 62 8 4& 1 <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes LV No ❑ <br /> 1 r <br /> N AIQ� Yes ❑ No ❑ Samples recesved within holding time? Yes � No ❑ <br />' Samples received under refrigeration? Yes LN No ❑ Do samples contain proper preservative? / <br /> NIA El Yes L1G No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br />' NIA ❑ Yes No ❑ <br /> Cham of Custody signed by all parties? Yes No ❑ VOA vials preservative type <br /> HCL [?]/ Na2S203 ❑ Other <br />' Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ N/A ❑ Yes LTJ No ❑ <br /> Samples received in proper containers? Yes No ❑ Samples received intact? 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 /> Comments <br /> I <br /> Acbon Taken <br />
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