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ARCHIVED REPORTS_XR0009201
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PERSHING
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4501
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009201
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Entry Properties
Last modified
5/6/2020 11:41:28 AM
Creation date
5/6/2020 11:26:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009201
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
Tags
EHD - Public
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JLAB CORE LABORATORIES <br />' rplsckl a V2 <br /> 05/25/1999 <br /> Job Number 990932 Location 57218 Customer Jab ID Job Check List Date 05/25/1999 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer Ii Group Contact Shelby Lathrop <br /> Questions ? (Y/N) Comments <br /> Chain-of-Custody Present? Y <br /> If "yes", completed property? Y <br /> Custody seal on shipping container? N <br /> If "Yes", custody seat intact? N <br /> Custody seals on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilled? Y 2 <br /> perature of cooler acceptable? (4 deg C +/- 2) Y <br /> Temperature measured from temperature blank?. N <br /> Samples received intact (good condition)? Y <br /> s <br /> VoEatile samples acceptable? (no headspace) Y <br /> Correct containers used? Y <br /> f <br /> Adequate sample volume provided? Y <br /> Samples preserved correctly? Y <br /> s <br /> 3 <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample Labels? Y E� <br /> f <br /> Open cooler radioactive screen at or below bkgrd? N <br /> Additional <br /> _ <br /> r mments <br /> Sample Custodian Signature/Date Y <br /> Page t <br /> ii iC � I I <br /> I �. it [ i rwi 1 n lix xll w+wl I > > 1 it I tw LII rI <br />
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