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ARCHIVED REPORTS_XR0005308
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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ARCHIVED REPORTS_XR0005308
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Entry Properties
Last modified
3/11/2020 5:57:03 PM
Creation date
3/11/2020 3:14:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005308
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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' Argon Laboratories Sample Receipt Checklist <br /> Client Name '� } }°�'� Date&Time Received <br /> t✓S�# C <br /> Protect Name ;bac k, V-PC Client Project Number 912 0 cru-3 <br /> Received By H G Matrix ater Soil l <br /> Sample Camer Ghent !_taborat-o;9 I FedEx 1 UPS <br /> Argon Labs Protect Number V(-'z 3 4 l <br /> Shipping Contamer 1 Cooler in good condition? Samples received in proper containers? Yes k No <br /> NIA K Yes No Samples received intact? Yes V No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes k No <br /> Chain of Custody Present? Yes " No Samples received within holding time? Yeses No <br /> Chain of Custody signed by all partes? Do samples contain proper preservative? <br /> Yes �- No NIA Yes� No <br /> Chain of Custody matches all sample iabeis? Do VOA vials contain zero headspace? <br /> Yes`,- No (None submitted_)Yeses_ No <br /> ANY"No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> . Date Client Contacted ` - — � W - — - Person Contacted <br /> i <br /> Contacted by Subject <br /> Comments <br /> I <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br /> I <br />
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