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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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FAR WEST LABORATORIES, INC, SAMPLER'S FIELD SERVICE LOG AND CHAIN OF CUSTODY LOG FWL SAMPLERS C OF C MASTER.XLXS <br /> BOTT FWL# TIME CLIENT SAMPLE SMPL CL2 BOTTLE PRFSRV ANALYSIS EVIDENCE oC BOTTL FLAG <br /> # COLLCTD NAME LOCATION TYPE MG/L TYPE USED REQUESTED OF COOLING TEMP COND YES/NO <br /> (YES/NO) RECVD <br /> i <br /> i <br /> SAMPLE TRANSPORTATION METHOD: STORED IN ICE CHEST WITH "BLUE ICE"TO MAINTAIN COOLING TEMPERATURE RECORDING DEVICE: IR GUN, ID#: FLUKE 62MAX(+) <br /> SAMPLE TYPE: DW=DRINKING WATER WW=WASTEWATER SW=SURFACE WATER MW= MONITORING WELL <br /> 1=WELL 2=TANK 3= DISTRIB. A= ROUTINE B=REPEAT C=SPECIAL BACTERIA TYPE: C=COLILERT 24HR PRESENCE/ABSENCI <br /> BOTTLE CONDITION: GD=GOOD DAM =DAMAGED C/E=COLILERT 24HR ENUMERATION <br /> PRESERVATIVE USED: 0= NONE 1=NA2S203 2=HNO3 3=H2SO4 4=HCL 5=H3PO4 6=NH4CL HPC=HETEROTROPHIC PLATE COUNT <br /> 15T=MTF WASTEWATER (15 TUBE) <br /> COLLECTED BY: DATE: <br /> RELINQUISHED BY: DATE/TIME: / <br /> RECEIVED BY: DATE/TIME: / <br /> RELINQUISHED BY: DATE/TIME: / <br /> RECEIVED BY: DATE/TIME: / PERSON RECORDING LOG-IN: <br /> NOTES: <br />
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