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ARCHIVED REPORTS_XR0008569
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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757
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3500 - Local Oversight Program
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PR0545572
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ARCHIVED REPORTS_XR0008569
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Entry Properties
Last modified
10/10/2020 10:17:14 PM
Creation date
3/18/2020 4:49:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008569
RECORD_ID
PR0545572
PE
3528
FACILITY_ID
FA0006855
FACILITY_NAME
ECKERT COLD STORAGE COMPANY
STREET_NUMBER
757
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95366
APN
22104041
CURRENT_STATUS
02
SITE_LOCATION
757 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Ar on Laboratories Sample Recei t Checklist <br /> . Client Name: 7 Date&Time <br /> Received S71 D <br /> Project Name; � C�c�r � C o �CI S�Q <br /> dent Project Number. q--�' <br /> Received By Matrix: Wate 1 Soil 1 <br /> Sample Carrier li 1 Laborato / FedEx / UPS 1 <br /> Argon Labs Project Number. DO 6 r a 1 -- <br /> Shipping Container 1 Coder in good conation? Samples received in proper containers? Yes No <br /> NIA Yes ✓ No Samples received intact? Yes--,-' No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓Na Yes No <br /> Chain of Custody Present? Yes No Samples received within holding 6me? Yes--Z No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No NIA Yes- No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ✓ 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 /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br />
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