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SITE HISTORY_CASE 3
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545660
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SITE HISTORY_CASE 3
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Last modified
5/12/2020 4:20:45 PM
Creation date
5/12/2020 3:12:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
FileName_PostFix
CASE 3
RECORD_ID
PR0545660
PE
3528
FACILITY_ID
FA0003909
FACILITY_NAME
PORT OF STOCKTON
STREET_NUMBER
2201
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14503001
CURRENT_STATUS
02
SITE_LOCATION
2201 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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WESTON Analylics Use Only <br /> rr5 Custody Transfer Record/Lab Work Request <br /> Page of <br /> Client — Refrigerator# <br /> Li uid <br /> Est.Final Prod.Sa ling Date — #/Type Container Solid <br /> Work Order* Z& 1 a~b l—1~6� <br /> Volume Li uid <br /> Project ConlecllPhone# Solid <br /> AS <br /> AD Protect Manager Preservatives -121-1 <br /> QC Del TATORGANIC INORG <br /> ANALYSES <br /> Date Recd 7 S Date Due REQUESTED —� 0 4 <br /> Account p > m a-eL t 2 v <br /> MATRIX I I I Io <br /> CODES: Matrix ale ? Q <br /> S- Soil `p DlClient ID!Descripllon QC Matrix Co1ecled r u] <br /> SE- Sediment Chosen X b <br /> sa-solid I✓1 <br /> SL- Sludge A4 <br /> W- water r <br /> O- Oil <br /> A- Air 7- x <br /> DS-Drum <br /> Solids <br /> DL- Drum <br /> Liquids <br /> L- EP/TCLP <br /> Leachate <br /> WI- Wipe <br /> X- Other <br /> F- Fish <br /> Special Instructions: DATOREVISIONS: <br /> wl:sTON Analytics use Only <br /> '1r <br /> I Samples were: COC Tape was: <br /> 2- 1 or 1 J Present on Outer <br /> 3. and Delivered Package Y or N <br /> 4. 2)Unbroken on Muter <br /> 2)Am ent or hille Package Y or N <br /> i <br /> "e 5' 3)Recei Good 3)Present on Sample <br /> Condition or N Y or N <br /> Rkbf <br /> d Received Relinquished Rec ved Discrepancies Between 4)ProperiMeserved 4)Unbroken on <br /> Date Time to Time War N Sample Y or N <br /> by by b Samples Labels and <br /> 7 COC Record? Y or N 5)Received Within COC Record Present <br /> r IID 5b , 't r !r yo?1 NOTES: Holding Ti s Upon Sample-Rec't <br /> nor -N N <br /> RfW 2t-2 OOtrA- 90 �__ L372 ___ L373 L375 ___ L377 L378 RefR _ _ Cooter# 381-596a <br />
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