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ARCHIVED REPORTS_XR0005306
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARIPOSA
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2900 - Site Mitigation Program
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PR0541650
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ARCHIVED REPORTS_XR0005306
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Entry Properties
Last modified
3/11/2020 5:59:56 PM
Creation date
3/11/2020 3:12:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005306
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
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 1112512003 1645 <br /> Project Name USA Gas Stockton#110 Client Project Number 54 25912 0003 <br /> Received By P H Matrix Water Soil ❑ <br /> Sampie Carrier Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number D11641 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [f No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes E] No ❑ <br /> Samples received under refngeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes [] No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes 21 No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes P-1 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes FJ No ❑ (None submitted ❑) Yes E 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 TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> I <br /> Call Received By <br /> Comments <br /> is <br />
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