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ARCHIVED REPORTS XR0004610
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544559
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ARCHIVED REPORTS XR0004610
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Last modified
6/13/2019 3:31:22 PM
Creation date
6/13/2019 3:13:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004610
RECORD_ID
PR0544559
PE
3528
FACILITY_ID
FA0009944
FACILITY_NAME
N&S IRRIGATION
STREET_NUMBER
215
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25906072
CURRENT_STATUS
02
SITE_LOCATION
215 W MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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- Ar on Laboratories Sample Recei t Checklist <br /> . Client Name o 4--,5WA TES IVC Date&Time Received OCA 1 6Y-f 1 0 1 r <br /> Project Name AJ"1 now Client Project Number Si-1 /�/9 l . G 00 f <br /> Received By Irl" -at 1 Soil I <br /> Sample Camer Client a / FedEx / UPS 1 <br /> Argon Labs Project Number <br /> Shipping Container/Coder in good condtion? Samples received in proper containers? Yes x No <br /> N/A_ x Yes Nc Samples received intact? Yes S No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yeses_ No Yes X No <br /> Cham of Custody Present? Yes_y,_ No Samples received within holding time? Yes Y No <br /> Chain of Custody signed by all parbes? Do samples contain proper preservative? <br /> Yes--Y, _ No NIA Yeses No <br /> Cham of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes X No (None submitted )Yes X No <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> • Date Client Contacted Pers� - - ` - - r — - - — - - — - - — . . — . <br /> Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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