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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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17717
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3500 - Local Oversight Program
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PR0545633
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Last modified
11/19/2024 4:01:08 PM
Creation date
5/4/2020 12:42:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545633
PE
3528
FACILITY_ID
FA0000695
FACILITY_NAME
MOOD-N-FOOD MART
STREET_NUMBER
17717
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366
APN
20322020
CURRENT_STATUS
02
SITE_LOCATION
17717 E HWY 120
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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.__. <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: Lee&Pierce Date&Time Received: 06/11108 15:15 <br /> Project Name: Gubary Liquors Client Project Number: EN08640 <br /> Received By: CR Matrix: Water [] Soil El Sludge ❑ <br /> Sample Carrier: Client ❑ Laboratory El Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 1806040 <br /> Shipper Container in good condition? Samples received in proper containers? Yes No ❑ <br /> NIA Yes Q No ❑ Samples received intact? Yes Q No ❑ <br /> Samples received under refrigeration? Yes [] No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> Chain of custody present? Yes No �. Samples received within holding time? Yes El No El <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes 0 No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes No ❑ (None submitted ❑) Yes E] 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 /> ADDITIONAL TEST(S)REQUEST 1 OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br />
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