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2900 - Site Mitigation Program
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PR0527040
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Last modified
3/10/2020 2:48:00 PM
Creation date
3/10/2020 10:43:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0527040
PE
2950
FACILITY_ID
FA0018326
FACILITY_NAME
KEMP LAND COMPANY SUBDIVISION
STREET_NUMBER
5113
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
15910004
CURRENT_STATUS
01
SITE_LOCATION
5113 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name: Neil 0.Anderson Date&Time Received: 04126/07 12:45 <br /> Project Name: Kemp Land Company Subdivision Client Project Number: E07055A <br /> Received By: R.G. Matrix: Water ❑ Soil El Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: H704061 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> NIA_ Yes ❑� No ❑ Samples received intact? Yes ❑' No ❑ <br /> Samples received under refrigeration? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes 2 No ❑ <br /> Chain of custody present? Yes E�] No ❑ Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 2] No ❑ Do samples contain proper preservative? <br /> NIA El Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ (None submitted 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 /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> r <br />
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