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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MILLER
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26239
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3000 – Underground Injection Control Program
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PR0523216
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COMPLIANCE INFO
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Entry Properties
Last modified
4/9/2020 3:57:32 PM
Creation date
4/9/2020 3:07:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0523216
PE
3030
FACILITY_ID
FA0015679
FACILITY_NAME
BFC PROP - UIC DRUG LAB
STREET_NUMBER
26239
Direction
E
STREET_NAME
MILLER
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
22704003
CURRENT_STATUS
01
SITE_LOCATION
26239 E MILLER AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Namq andaro i&Time Received: <br /> Project Name: 1JCl r 1 }Client Project Number: (� <br /> Received By: cRet�_) Matrix: Water ❑ Soil 2 Other <br /> Sample Camer: Client ❑ Laboratory (�' Fed Ex El UPS UPS ❑ Other <br /> Argon Labs Project Number: <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes No ❑ <br /> N/A V Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes No ❑ Do samples contain proper preservatives?/ <br /> NIA LJ Yes El No ElChain of custody present? Yes No ElVOA vials with preservative? <br /> N/A Q Yes ❑ No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type: <br /> HCL ❑ Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace?? <br /> Yes 2 No ❑ N/A L0 Yes ❑ No ❑ <br /> Samples received in proper containers?Yes Lid No ❑ Samples received intact? Yes N,/ 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 />
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