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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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1650
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2900 - Site Mitigation Program
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PR0538098
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Last modified
5/14/2019 11:47:32 AM
Creation date
5/14/2019 11:41:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0538098
PE
2950
FACILITY_ID
FA0022006
FACILITY_NAME
ACAPULCO GARDENS MEXICAN RESTAURANT
STREET_NUMBER
1650
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16703213
CURRENT_STATUS
01
SITE_LOCATION
1650 S EL DORADO ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m p b e I l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> nccampbell.com <br /> t <br /> Sample Receipt i t Checklist <br /> ' Client Name: Advanced GeoEnvironmental, Inc. Date and Time Received: 10/6/2014 3:06:15 PM <br /> Project Name: Pimentel Prop. Login Reviewed by: Jena Alfaro <br /> ' WorkOrder Ns: 1410163 Matrix: SoilGas Carrier: Client Droo-In <br /> Chain of Custody(COC)Information <br /> ' Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes No ❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> tSample IDs noted by Client on COC? Yes No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> ' Sampler's name noted on COC? Yes No❑ <br /> Sample Receipt Information <br /> ' Custody seals intact on shipping container/cooler? Yes ❑ No ❑ NA W <br /> Shipping container/cooler in good condition? Yes No❑ <br /> ' Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes No❑ <br /> ' Sufficient sample volume for indicated test? Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> ' All samples received within holding time? Yes ❑d No❑ <br /> Container/Temp Blank temperature Cooler Temp: NA❑� <br /> ' Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes ❑✓ No❑ <br /> pH acceptable upon receipt(Metal:pH<2; 522:pH<4)? Yes ❑ No❑ NA <br /> ' Samples Received on Ice? Yes ❑ No 0 <br /> ' Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA❑d <br /> NOTE:If the "No"box is checked, see comments below. <br /> Comments: <br /> 1 <br /> 1 <br /> �n _r <br />
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