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ARCHIVED REPORTS_XR0012222
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WILSON
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102
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3500 - Local Oversight Program
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PR0545890
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ARCHIVED REPORTS_XR0012222
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Entry Properties
Last modified
7/22/2020 12:22:48 PM
Creation date
7/22/2020 11:45:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012222
RECORD_ID
PR0545890
PE
3526
FACILITY_ID
FA0025958
FACILITY_NAME
ROEK BROTHERS CONSTRUCTION
STREET_NUMBER
102
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15502065
CURRENT_STATUS
02
SITE_LOCATION
102 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> a)lq)� <br /> Q <br /> Client NameA n d 7—ew �5�-5Date&Time Received:� ! + C3 <br /> 9 f ' <br /> Project NameClient Project Number: .. t Q f[�( o <br /> Received By; _ _ Matrix; Water Oa Soil ❑ Other <br /> Sample Camey. Client ❑ Laboratory Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 63491 <br /> w <br /> Shipper Container in good condition? Sufficient samp€e volume for requested tests?Yes No ❑ <br /> ' N/A a Yes ❑ No ❑ Samples received within holding time? Yes No ❑ <br /> ' Samples received under refrigeration? Yes 4d No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? / <br /> NIA ❑ Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 19/ No ❑ VOA vials preservative type: <br /> HCL [q/Na2S203 ❑ Other <br /> ' • Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ER/ No ❑ NIA ❑ Yes [� No ❑ <br /> Samples received in proper containers?Yes RZ// No ❑ Samples received intact? Yes No ❑ <br /> 1 <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted; <br /> Contacted By: Subject: <br /> I ' Comments: <br /> 1 <br /> tAction Taken: <br /> 1 <br />
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