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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0518127
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Last modified
5/17/2019 11:50:34 AM
Creation date
5/17/2019 11:27:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0518127
PE
2950
FACILITY_ID
FA0013712
FACILITY_NAME
RAYMOND INVESTMENT CORPORATION
STREET_NUMBER
2245
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16336017
CURRENT_STATUS
01
SITE_LOCATION
2245 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SunStar Page I of <br /> Laboratories, Inc. <br /> @OVIOIRO QUAD ARAMIML SPAY sNpi wtm <br /> SAMPLE RECEIVING REVIEW SHEET <br /> BATCH# r3/P3l <br /> Client Name: AAL—s-*L+ 4A4% Project: TZgS It/. Caverfo �r �rcr rrzv CiQ <br /> Received by: Date/Time Received: 824 i? //•ao <br /> Delivered by: []Client ❑ SunStar Courier 2 GSO ❑FedEx . ❑Other <br /> Total number of coolers received / Temp criteria=6°C>0°C(no frozen containers) <br /> Temperature: cooler 41 /.f °C+/-the CF (-0.2°C) =_I2 °C corrected temperature <br /> cooler#2 °C+/-the CF (-0.2°C) = °C corrected temperature <br /> cooler#3 °C+/-the CF (-0.2°C) = _°C corrected temperature <br /> Samples outside temp.but received on ice,w/in 6 hours of final sampling. ®Yes ❑No* ❑N/A <br /> Custody Seals Intact on Cooler/Sample, [AYes ❑No* ❑N/A <br /> Sample Containers Intact ERIYes ❑No* <br /> Sample labels match COC ID's 2'es E]No* <br /> Total number of containers received match COC WYes ❑No* <br /> Proper containers received for analyses requested on COC ®Yes ❑No* <br /> Proper preservative indicated on COC/containers for analyses requested [ Yes ❑No* ❑N/A <br /> Complete shipment received in good condition with correct temperatures,containers,labels,volumes <br /> preservatives and within method specified holding times. E Yes ❑No* <br /> *Complete Non-Conformance Receiving Sheet if checked Cooler/SampleReview-Initials and date CL 81Y•/? <br /> Comments: <br />
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