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ARCHIVED REPORTS_XR0008811
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WALNUT GROVE
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8960
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2900 - Site Mitigation Program
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PR0506456
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ARCHIVED REPORTS_XR0008811
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Entry Properties
Last modified
6/22/2020 8:05:27 AM
Creation date
6/22/2020 8:02:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008811
RECORD_ID
PR0506456
PE
2950
FACILITY_ID
FA0007437
FACILITY_NAME
M & K GAS STATION
STREET_NUMBER
8960
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00115029
CURRENT_STATUS
02
SITE_LOCATION
8960 W WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
Tags
EHD - Public
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Argon Laboratories <br /> Sample Recei f Checkli <br /> sf <br /> Client Name dm"11c4 Date&Time Received 26, / P) 103 <br /> Protect Name /3 o. <br /> Client Protect Number lf y L! <br /> Received By Ct <br /> Matrix (water ! Sot!_ / <br /> Sample Camer Che Laboratory 1 FedEx 1 UPS I <br /> Argon Labs Project!Number 1)0&55/ <br /> Shipping Container/Cooler in good condition? Samples received in proper containers? Yes No <br /> N/A Yes ✓ No Samples received intact? <br /> Samples received under refrigeration? Yes ✓ No <br /> Sufficient sample volume for requested tests? <br /> Yes � No Yes °� Na <br /> Chain of Custody Present? Yes '� No Samples received within holding time? Yes ✓ No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes V' No / <br /> NIA Yes `' No <br /> Chain of Custody matches all sample labels? <br /> Do VOA vials contain zero headspace? <br /> Yes ✓ No (None submitted )Yes No <br /> +ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW- <br /> Date Client Contacted 03 Person Contacted o hn L <br /> Contacted by f <br /> Subject <br /> Comments C OL-11 <br /> o � <br /> Action Taken �4 <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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