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ARCHIVED REPORTS XR0000671
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000671
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Entry Properties
Last modified
2/15/2019 6:40:23 PM
Creation date
2/15/2019 3:24:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000671
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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• STANDARD OPERATING PROCEDURE <br /> Attachment 10 B 1 <br /> SAMPLE LOG-PN CHECKLIST <br /> ALTA Project No 22791 <br /> 1 Date Samples Arrived 09110/02 Initials Location <br /> 2 Time/Date logged in 09/10/02 1350 Initials Location WR-2 <br /> 3 Samples Arrived By (circle) FedEx UPS World Courier Other CAL OVERNIGHT <br /> 4 Shipping Preservation (circle) IceBlue Ice Dry Ice / None Temp°C 3 40C <br /> YES NO NA <br /> S Shipping Container(s) Intact*? If not describe condition in comment section X <br /> 6 Shipping Container(s)Custody Seals Present? X <br /> Intact? If not intact, describe condition in comment section X <br /> 7 Shipping Documentation Present? (circle) Shipping LabelAcrbilI X <br /> Tracking Number 512189118 (see project 22788) <br /> 8 Sample Custody Seal(s) Present? No of Seals or Seal No X <br /> Intact? If not intact, describe condition in comment section X <br /> 9 Sample Container Intact? If no indicate sample condition in comment section <br /> X <br /> 10 Chain or Custody(COC)or other Sample Documentation Present? <br /> X <br /> 11 COC/Documentation Acceptable? If no,complete COC Anomaly Form <br /> X <br /> 12 Shipping Container(circle) ALTA Clien Retain or eturn or Disposed <br /> 13 Container(s)and/or Bottle(s) Requested? X <br /> 14 Drinking Water Sample? (HRMS Only) If yes,Acceptable Preservation? Y or N <br /> Preservation Info From? (circle) COC or Sample Container or None Noted X <br /> Comments <br /> ALTA Analytical Laboratory <br /> EI Dorado Hills,CA 95762 <br /> SOP#t CtiiOB_R16,Page t of 2 <br /> Project 22791 Page 11 of 11 <br />
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