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CO0047038
Environmental Health - Public
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2200 - Hazardous Waste Program
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CO0047038
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Entry Properties
Last modified
8/22/2022 4:16:59 PM
Creation date
2/8/2019 8:03:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0047038
PE
2200
STREET_NUMBER
18201
Direction
S
STREET_NAME
MACARTHUR
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
21302050
ENTERED_DATE
7/3/2018 12:00:00 AM
SITE_LOCATION
18201 S MACARTHER DR
RECEIVED_DATE
7/2/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\M\MACARTHUR\18201\CO0047038.PDF
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EHD - Public
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Li_�Torrent <br /> LABORATORY, 1`.0 <br /> Sample Receipt Checklist <br /> Client Name: De Anza Properties Date and Time Received: 6/1/2018 4:15:OOPM <br /> Project Name: 803 W El Camino Real Sunnyvale, CA Received By: Navin Ghodasara <br /> Work Order No.: 1806012 Physically Logged By: Navin Ghodasara <br /> Checklist Completed By: Navin Ghodasara <br /> Carrier Name: Client Drop Off <br /> Chain of Custody(COM Information <br /> Chain of custody present? Yes <br /> Chain of custody signed when relinquished and received? Yes <br /> Chain of custody agrees with sample labels? Yes <br /> Custody seals intact on sample botties? Not Present <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Not Present <br /> Shipping Container/Cooler In Good Condition? Yes <br /> Samples in proper container/bottle? Yes <br /> Samples containers intact? Yes <br /> Sufficient sample volume for indicated test? Yes <br /> Sample Pre$ervation and Hold Time(HT) Informati2n <br /> All samples received within holding time? Yes <br /> Container/Temp Blank temperature in compliance? No Temperature: 13.0 °C <br /> Water-VOA vials have zero headspace? No VOA vials submitted <br /> Water-pH acceptable upon receipt? NIA <br /> pH Checked by: na pH Adjusted by: na <br /> Comments: <br /> 483 Sinclair Frontage Rd_,Milpitas,CA 95035 i ra):408.263.5258 1 tax:408.263.8293 I www.t©rrentlab-com <br /> Total Page Count'. 107 Page 100 of 107 <br />
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