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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EL DORADO
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8125
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3500 - Local Oversight Program
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PR0528611
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Last modified
4/2/2019 5:01:08 PM
Creation date
4/2/2019 4:56:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0528611
PE
2957
FACILITY_ID
FA0019235
FACILITY_NAME
J & L MARKET
STREET_NUMBER
8125
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231
APN
19317003
CURRENT_STATUS
01
SITE_LOCATION
8125 S EL DORADO ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
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EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name: RTC Ae5CC tf ET , )MC Date&Time Received:_U::ls2;:jcg. I qg�3 p <br /> Project Name: -1-d L M AgZKiC-%- Client Project Number: L 4 2°35.6`1 poo t <br /> Received By: MG Matrix: Water Ef" Soil ❑ Other <br /> Sample Carrier: Client ❑ Laboratory [ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number; G,(oGbeo3 <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes B- No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes D' No ❑ <br /> Samples received under refrigeration? Yes 9- No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes ❑-- No ❑ <br /> Chain of custody present? Yes B No ❑ VOA vials with preservative? <br /> NIA ❑ Yes 0," No ❑ <br /> Chain of Custody signed by all parties? Yes B No ❑ VOA vials preservative type: <br /> HCL [a,Na2S203 ❑ Other <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes L;1- No ❑ NIA ❑ Yes ®- No ❑ <br /> Samples received in proper containers?Yes D— No ❑ Samples received intact? Yes g- No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Dale Client Contacted: o�wnb Person Contacted: vz1 M4E!P-- <br /> ContactedBy:C ice` / Subject: i2rP 9t_A0v- <br /> Comments: of -V Kky Bt-AT11� FR-oN1 oZ�o�i(DS -ro oi(�rlDb . <br /> Action Taken: <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> • <br /> v.5.02 <br />
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