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ARCHIVED REPORTS_XR0004857
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOUISE
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1196
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3500 - Local Oversight Program
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PR0545438
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ARCHIVED REPORTS_XR0004857
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Entry Properties
Last modified
3/9/2020 3:48:14 PM
Creation date
3/9/2020 1:30:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004857
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t a�z <br /> Sample Receipt Checklist 5TLSan Francisco <br /> Submission #• 2002- 07 - 0033 <br /> Checklist completed by (initials) Ab- Date <br /> Courier name G STl_ San Frar:c,scoxc:rent <br /> E Not / <br /> Custody seals intact on shipping containerlsamples Yes No Present ✓ <br /> Chain of custody present? Yes '� No <br /> Chain of custody signed when relrnqusned and received? Yes No <br /> Chain or custody agrees with samole labels? Yes No <br /> Samples in proper container/bottle? Yes No <br /> Samoie containers intact? Yes No <br /> Sumaent sample volume for inc,catea test-, Yes No <br /> All sampies received within holccng time? k".) <br /> /.I Yes Ne <br /> ContarnerrTemp Slanrc*emoe azure in comoliancs W) C c?)? Temo l °C Yes ✓ Na <br /> Water-VOA vials nave cera neacsnacs' he VCA vials submctac Yes No <br /> (if bunbie is present rerer+o accrommate oucofe size anc itemize in comments as S (small -Q), M (meclurn - 0) or L(large- LJ) <br /> Water- pH acceptable upon receipt? _les :: No <br /> M pH adjusted- P�ese-vauve _sad _-1 nC l='. NaCl- C' Z-10' <br /> For any item check-listed "bio", provided detail of discrepancy in comment section below <br /> Comments <br /> Project Management iRouting for instruction of indicated discrepancy €es 1pj <br /> P,ojec- Manager hrimalsr ''02 <br /> Cheri* con.ac:ea = `yes = No <br /> Correa, s 4c',o^ =:,Vc <br /> i <br />
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