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ARCHIVED REPORTS_XR0009756
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SECOND
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3500 - Local Oversight Program
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PR0545680
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ARCHIVED REPORTS_XR0009756
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Entry Properties
Last modified
5/20/2020 2:49:30 PM
Creation date
5/20/2020 2:41:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009756
RECORD_ID
PR0545680
PE
3528
FACILITY_ID
FA0005535
FACILITY_NAME
THIEMANS SERVICE
STREET_NUMBER
106
STREET_NAME
SECOND
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
106 SECOND ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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i <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name As5oe-t&3��. Date&Time Received _ 1 r Z 9 r 03 ^ Av <br /> Project Name t�r ry Ni 5 t G + Client Project Number 5 , kpZ(QO 5 Com^O <br /> Received Sy MatnxWater Soil <br /> Sample Camer Client / abor edEx r UPS 1 <br /> Argon Labs Project Number __�CCS Z-Z <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes o <br /> N!A ` Yes No Samples received intact? Yes No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes No Yes V--"No <br /> Chain of Custody Present? Yes ✓ No Samples received within holding time? Yes - /No— <br /> Chain <br /> /NoChain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes '� No NIA Yes No <br /> Chain of Custody matches all sample#abe Do VOA vials contain zero headspace? <br /> Yes No (None submitted--j Yes 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 /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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