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ARCHIVED REPORTS_XR0005180
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3500 - Local Oversight Program
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PR0545509
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ARCHIVED REPORTS_XR0005180
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Entry Properties
Last modified
3/12/2020 9:15:45 AM
Creation date
3/10/2020 3:38:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005180
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 � <br /> Argon..Laboratories Sam ie Recei t Checklist <br /> Client Name: ATC Associates, Inc, Date&Time Received: 212312004 16:30 <br /> Project Name: Jamar Service Client Project Number: 54.26623.0001 <br /> Received By: E.P. Matrix: Water ❑ Soil ❑ <br /> Sample Carrier. Client F-1Laboratory [] Fed Ex El UPS [:] Other El <br /> ' Argon Labs Project Number: i=D2411 <br /> Samples received in proper containers? Yes �] No <br /> Shipper Container in good condition? ❑ <br /> ' N!A Yes <br /> ❑' No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes Suf dent sample volume for requested tests?Yes ❑ No ❑ <br /> , ❑ No ❑ <br /> Chain a#custody present. Yes No Samples received within holding time? Yes <br /> 0 No <br /> ' <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> NiA M Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted � ) Yes ❑ Na ❑ <br /> rANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted. Person Conacted: <br /> Contacted By: Subject: <br /> rComments: <br /> 1 <br /> Action Taken: <br /> r <br /> r <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> rDate: Time:_ <br /> Contacted By: <br /> .Call Received By:- <br /> Comments: <br /> r <br /> r <br /> _J, <br />
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