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ARCHIVED REPORTS_XR0008558
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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2537
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3500 - Local Oversight Program
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PR0545857
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ARCHIVED REPORTS_XR0008558
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Last modified
10/10/2020 10:29:28 PM
Creation date
7/15/2020 2:57:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008558
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> ! SAMPLE LOGIN CHECKLIST <br /> 1 <br /> ' DATE: r TIME: CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> ' CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : [ <br /> YES No <br /> 1 . Is a Chain-of-Custody form present? ,0 i <br /> 2. Is the COC properly completed? " / <br /> If no, describe what -is incomplete: <br />' If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about the situation) <br /> 3. Is airbill/packingof lading with shipment? <br /> If yes, ID#: �7rtL� <br /> 4. Is a USEPA Traffic Report present? <br /> 5. Is a USEPA SAS Packing List present? <br /> 6. Are custody seals present on the package? <br />' If yes, were they intact upon receipt?, <br /> 7. Are all samples tagged or labeled? <br /> Do the sample tags/labels match the COC? <br />' If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about the situation) <br /> 8. Do all shipping documents agree? <br /> If no, describe what is in nonconformity; <br /> 9. Condition/temperature of shipping container l] <br /> 18. Condition/temperature of sample bottles: <br /> 11 . Sample Disposal?: SPL disposal / Return to client <br /> NOTES ( reference item number if applicable) : r <br /> ATTEST: DATE: <br /> DELIVERED FOR SOLUTION: RECD DATE: <br />' RESOLVED: DATE: <br />
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