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ARCHIVED REPORTS_XR0012245
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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3500 - Local Oversight Program
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PR0545890
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ARCHIVED REPORTS_XR0012245
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Entry Properties
Last modified
7/22/2020 12:08:17 PM
Creation date
7/22/2020 11:55:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012245
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
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LSauers
Tags
EHD - Public
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Ar on Labora#ories sample Rece" <br /> i� t t Checklist <br /> ' Client Name: Ground Zero Analysis Date&Time Received: 8/26/2004 <br /> Project Name: Knowles Roek 17:00 <br /> Client Project Number; 186 <br /> � Received By: E.P. Matrix: Water � ❑ <br /> ' ❑ Soil <br /> Sample Carrier: Client E Laboratory ❑ Fed ExF1❑ DPS ❑ Other <br /> Argon Labs Project Number: E08581 <br /> ' Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes Q No ❑' Samples received intact?lYes [] No ❑ <br /> Samples received under refrigeration? Yes No <br /> ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present?' Yes No ❑ Samples received within holding time? Yes 0 No ❑ <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservative? <br /> ' ❑Chain of Custody matches all sample labels? NIA EJ Yes E No <br /> Do VOA vials contain zero headspaoe? <br /> Yes No ❑ (None submitted ❑ <br /> ❑) 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 /> ADDITIONAL TEST(S)REQUEST lOTHER <br /> —'y--_—__�_—� t <br /> Contacted By: Date: <br /> Time: <br /> Call Received By: <br /> Comments: <br /> j <br />
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