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ARCHIVED REPORTS_XR0005507
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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14800
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3500 - Local Oversight Program
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PR0545626
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ARCHIVED REPORTS_XR0005507
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Last modified
11/19/2024 1:50:28 PM
Creation date
4/29/2020 1:40:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005507
RECORD_ID
PR0545626
PE
3528
FACILITY_ID
FA0000957
FACILITY_NAME
LATHROP GAS & FOOD MART*
STREET_NUMBER
14800
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19702004
CURRENT_STATUS
02
SITE_LOCATION
14800 S HWY 99 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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i <br /> • Sampler's initials <br /> • Date and time of collection <br /> • Type of preservative used (if any) <br /> SAMPLING AND ANALYSIS CHAIN-OF-CUSTODY RECORD <br /> The Sampling and Analysis Chain-of-Custody Record (see Figure A-3), initiated at the time of <br /> sampling, contained, but was not limited to, the well number, sample type, analytical request, <br /> date of sampling, and the name of the sampler. The record sheet was signed, timed, and dated <br /> by the ~ampler when transferring the sw-nples. Custody transfers were recorded for each <br /> individual sample; for example, if samples were split and sent to more than one laboratory, a <br /> chain-of-custody record sheet accompanied each sable. The dumber of custodians in the chain <br /> of possession were minimized. A copy of the Sampling and Analysis Chain-of-Custody Record <br /> was returned to EMCON with the analytical results. <br /> Groundwater Sampling and Analysis Request Form <br /> A Groundwater Sampling and Analysis Request Form (see Figure A-4) or purchase order, or <br /> both, accompanied the samples delivered to each laboratory. These forms served as official <br /> communication to the laboratory of the particular analysis/analyses required for each sample. <br /> At a minimum, the Groundwater Sampling and Analysis Request Form included the <br /> following information: <br /> • Date submitted <br /> • Specific analytical parameters <br /> • Well number <br /> • Sample source <br /> SA(.W:\PJ2\252U\25201000.1 PS-94\pas:1 A-7 Rev.0.4111/95 <br />
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