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ARCHIVED REPORTS_XR0007271
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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2662
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3500 - Local Oversight Program
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PR0545898
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ARCHIVED REPORTS_XR0007271
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Entry Properties
Last modified
7/23/2020 8:12:23 AM
Creation date
7/23/2020 8:07:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007271
RECORD_ID
PR0545898
PE
3528
FACILITY_ID
FA0005555
FACILITY_NAME
MALIK ALL TIRES WHEEL
STREET_NUMBER
2662
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11706033
CURRENT_STATUS
02
SITE_LOCATION
2662 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Ar on Laboratories Sam le Recdt Checklist <br /> • Client Name- G • - Date&Time Received 3 1 I oz up zo <br /> Protect Name �YiS 1V, Client Protect Number 3 Z4 <br /> Received By Matrix lzoll 1 <br /> Sample Carrier Jaen Laboratory 1 FedEx 1 UPS 1 �. <br /> Argon Labs Project Number 6,1>32 <br /> Shipping Container 1 Cooler in good condition? Yes No NIA <br /> Samples received under refngerabon? Yes --'No <br /> Chain of Custody Present? Yes ✓No <br /> Chain of Custody signed by all partes? Yes L,"" No <br /> Chain of Custody matches all sample labels? Yes `�No <br /> Samples received in proper containers? Yes Ll-<No <br /> Samples received intact? Yes u-�No <br /> Sufficient sample volume for requested tests? Yes L,- No <br /> • Samples received within holding time? Yes �No <br /> Do samples contain proper preservative? Yes ✓ o NIA <br /> Do VOA vials contain zero heads ace? Yes � No None submitted <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 />
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