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ARCHIVED REPORTS XR0004809
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MADISON
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420
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2900 - Site Mitigation Program
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PR0521765
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ARCHIVED REPORTS XR0004809
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Last modified
5/6/2019 4:49:32 PM
Creation date
5/6/2019 4:34:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004809
RECORD_ID
PR0521765
PE
2950
FACILITY_ID
FA0014781
FACILITY_NAME
CARANDO MACHINE WORKS
STREET_NUMBER
420
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
420 N MADISON ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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' SOP Volume Client Services <br /> Section 1 12 <br /> Page I of I <br /> Effective Date 10-May-99 Curtis &Tompkins Ltd <br /> Revision 1 Numbenl of cb <br /> Filename F 1QCIFormsIQC\Cooler wpd <br /> COOLER RECEIPT CHECJKLIST <br /> 1 <br /> Login# f5 Date Received /d V Number of Coolers <br /> 1 Client P oje t - ��.._.. <br /> A Preliminary ExamInatign Phase <br /> 1 Date Opened By (print)- <br /> print (sign)__ <br /> 4;�;j; <br /> 1 Did cooler com wt a shipping slip ( irbill, etc')? YE N <br /> ' If YES, enter camer name and airbill number <br /> ' 2 Were custody seals on outside of cooler? YES <br /> How many and where? Seal date Seal name <br /> 3 Were custody seals unbroken and intact at the date and time of arrival? YES NO cJI <br /> ' 4 Were custody papers dry and intact when received? NO <br /> 5 Were custody papers filled out properly (ink, signed, etc )? NO <br /> 6 Did you sign the custody papers in the appropnate place? NO <br /> 1 7 Was project identifiable from custody papers? NO <br /> If YES, enter project name at the top of this form <br /> S If required,was sufficient ice used? Samples should be 2-6 degrees C INO <br /> Type of ice W Cf— Temperature <br /> B Login Phase <br /> Date Logged In //V&fBy (I)nnt) (sign} <br /> 1 Describe type of p cki g rn cooler <br /> 1 2 Did all bottles arnve unbroken? E 3 Were labels in good condition and complete (ID, date, time, signature, etc )? <br /> 4 Did bottle labels agree with custody papers? <br /> ' 5 Were appropriate containers used for the tests indicated? <br /> 6 Were correct preservatives added to samples? YENS N <br /> 7 Was sufficient amount of sample sent for tests indicated? YES NO <br /> S Were bubbles absent in VOA samples?If NO, list sample Ids below YES NO <br /> 1 9 Was the client contacted concerning this sample delivery? YES NO <br /> If YES, give details below <br /> 1 Who was called? By whom? Date <br /> 1 Additional Comments r�^ <br /> -06fc-I <br /> i <br /> 1 <br /> Filename F lgclformslg6cooler doc Rev 1,4195 <br />
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