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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505363
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/16/2019 4:30:32 PM
Creation date
5/7/2019 3:59:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505363
PE
2960
FACILITY_ID
FA0005584
FACILITY_NAME
VALLEY PACIFIC LODI PLANT & CARDLOCK
STREET_NUMBER
930
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905023
CURRENT_STATUS
01
SITE_LOCATION
930 E VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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AMeuangkhoth
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EHD - Public
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Quality Assurance/Quality Control Plan Page 3 <br />document transport conditions. Further discussion of sample preservation is included in the <br />sampling protocols (Sections 11 and 12). <br />5.0 CHAIN -OF -CUSTODY PROCEDURES <br />5.1 SAMPLE LABELS <br />Each sample container will be labeled prior to filling to prevent misidentification. The label will <br />contain at least the following information: <br />- Sample number which uniquely identifies the sample <br />- Project title or number <br />- Location of sample collection <br />- Soil boring or well number, as applicable <br />- Name of collector <br />- Date and time of collection <br />- Type of analysis requested <br />5.2 CHAIN -OF -CUSTODY RECORD AND SAMPLE ANALYSIS REQUEST FORM <br />A chain -of -custody record for each container or sample will be used to track possession of the <br />samples from the time they were collected in the field until the time they are analyzed in the <br />laboratory. <br />The chain -of -custody record will contain the following information: <br />1. Site Name <br />2. Signature of collector <br />3. Date and time of collection <br />4. Sample identification number(s) <br />5. Number of containers in sample set <br />6. Description of sample and container(s) <br />7. Name and signature of persons, and the companies or agencies they <br />represent, who are involved in the chain of possession <br />8. Inclusive dates and times of possession <br />9. Requested analysis for each sample <br />
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