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FIELD DOCUMENTS_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545509
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FIELD DOCUMENTS_FILE 1
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Last modified
3/11/2020 8:56:34 AM
Creation date
3/10/2020 3:11:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545509
PE
3528
FACILITY_ID
FA0002121
FACILITY_NAME
JAMAR SERVICE
STREET_NUMBER
4075
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
15726411
CURRENT_STATUS
02
SITE_LOCATION
4075 E MAIN ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates, Inc Date&Time Received: 3/212004 16 15 <br /> Project Name: Jamar Client Project Number: 54.26823.0001 <br /> Received By: E.P. Matrix: Water ❑ Soit 21 <br /> Sample Carrier: Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: E03051 <br /> Shipper Container in good condition? Samples received In proper containers? Yes ❑ No ❑ <br /> NIA_ yes [D No ❑ Samples received intact? Yes [D No ❑ <br /> Samples received under refdgeralion? Yes ❑ No ❑ Sufficient sample volume for requested tests?Yes R] No ❑ <br /> Chain or custody present? Yes El No ❑ Samples received within holding lime? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes ❑ No ❑ Do samaes contain proper preservative? <br /> N/A E) Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑ No ❑ (None submitted Q) Yes ❑ No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Conacted: <br /> Contacted By: Subject: <br /> Comments: <br /> Action Taken: <br /> ADDITIONAL TESTIS)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />
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