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ARCHIVED REPORTS_XR0004016
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004016
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Entry Properties
Last modified
3/4/2020 3:17:52 PM
Creation date
3/4/2020 2:02:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004016
RECORD_ID
PR0527611
PE
2957
FACILITY_ID
FA0018709
FACILITY_NAME
FORMER DOLLY MADISON
STREET_NUMBER
1426
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503010
CURRENT_STATUS
01
SITE_LOCATION
1426 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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3„ <br /> Alpha Analytical, Inc <br /> Phone (775)355-1044 FAX (775)355-0406 <br /> Sample Receipt Checklist <br /> Date Report is due to Client 2122102 Date of Notice 2115102 1 22 54 PM <br /> Please take note of any Non-Compliant check marks If we receive no response concerning these stems wsthin 24 hours of the date of this <br /> notice,all of the samples will be analyzed as requested <br /> Client Name Stratus Environmental Project ID 2002-142601/IBC-Stockton <br /> Project Manager Jay Johnson Clients Phone (530) 676-6000 Client's FAX (530) 676-6005 <br /> Work Order Number STR02021565 Date Received 2115102 Received by Tracy Degiovanni <br /> Chain of Custody(COC) information <br /> Carver name Golden State Overnight <br /> Chain of custody present? Yes - ❑ No <br /> Custody seals intact on shippping container/cooler? Yes ❑ No Not Presen' ❑ <br /> Custody seals intact on sample bottles? Yes ❑ ❑ No Not Present W <br /> Chain of custody signed when relinquished and received? Yes ❑✓ ❑ No <br /> Chain of custody agrees with sample labels? Yes Non-Compliant <br /> Internal Chain of Custody (COC)requested? Yes ❑ No <br /> Sub Contract Lab Used None hJ ❑ SEM Other(see comments) ❑ <br /> Sample Receipt Information <br /> . Shipping container/cooler in good condition? Yes ® ❑ No Not Present ❑ <br /> Samples in proper container/bottle? Yes Fill ❑ Non-Compliant <br /> Sample containers intact? Yes W ❑ No <br /> Sufficient sample volume for indicated test? Yes iii ❑ No <br /> Sample Preservation and Hold Time(HT) Information <br /> All samples received within h6ding time? Yes ;111 ❑ Non-Compliant Cooler Temperature <br /> Container/Temp Blank temperature in compliance(0-6°C)? Yes Ri ❑ Non-Compliant 40C <br /> Water-VOA vials have zero headspace? Yes W ❑ Non-Compliant No VOA vials submitted ❑ <br /> TQC Water-pH acceptable upon receipt ) Yes ❑ ❑ No N/AJ <br /> TOC Samples should have a pH<2(H2SO4) <br /> Analytical Requirement Information <br /> Are non-Standard or Modified methods requested? Yes ❑ 2 No <br /> Are there client specific Project requirements? Yes ❑ 5Z No If YES see the Chain of Custody(COC) <br /> Comments <br /> 0 <br />
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