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ARCHIVED REPORTS_XR0005653
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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8200
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3500 - Local Oversight Program
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PR0545621
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ARCHIVED REPORTS_XR0005653
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Entry Properties
Last modified
11/19/2024 1:50:30 PM
Creation date
4/28/2020 2:22:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005653
RECORD_ID
PR0545621
PE
3528
FACILITY_ID
FA0003977
FACILITY_NAME
SPEEDY FOOD #2*
STREET_NUMBER
8200
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
CURRENT_STATUS
02
SITE_LOCATION
8200 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Argon Laboratories Sample Recei t Checklist <br /> iClient Name rdDate&Time Received ���1 p <br /> Protect Name fy <br /> Client Protect Number G <br /> Received By <br /> MatrixWater oil I <br /> Sample Carver Bent aborato / F Ex 1 UPS ! <br /> Argon Labs Protect Number -Do -:;;— <br /> Shipping Container 1 Cooler in Samples ers <br /> good cc bony V' <br /> received in proper containYes No <br /> N/A Yes No Samples received intact <br /> Samples received under refrigeration? <br /> Yes—zNo <br /> Sufficient sample volume for requested tests <br /> Yes Na Yes v No <br /> Cham of Custody Presents Yes No Samples received v�th:n holding time? Yes <br /> Cham Custody sined b of Cust g y all partiNo <br /> — <br /> Yes Do samples contain proper preservative? <br /> Yes NIA Yes <br /> Chain of Custody matches all sample la s� No <br /> Do VOA vials contain zero headspace� <br /> Yes No (None submitted)Yes ZNo <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 /> 4� <br /> OTHER <br /> Date Client Contacted Person Contacted - <br /> Comments <br />
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