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ARCHIVED REPORTS XR0003371
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003371
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Last modified
6/24/2019 2:42:01 PM
Creation date
6/24/2019 1:31:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003371
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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1 <br /> 3ELAB CORE LABORATORIES <br /> pjsckl job SampteReceipt — V2 <br /> 05/18/1999 <br /> !Project <br /> ob Number 990877 Location 57218 Customer Job ID Job Check List Date 05/18/1999 <br /> Number 97000260 Project Description Southland - Martinez Project Manager tas <br /> Customer IT Group Contact Shelby Lathrop <br /> Questions 9 (Y/N) Comments <br /> ' Chain-of-Custody Present? Y <br /> ' If "yes", completed property? Y <br /> Custody seat an shipping container? N <br /> If "yes", custody seal intact? N <br /> Custody seats on sample containers? N <br /> If "yes", custody seal intact? N <br /> Samples chilled? Y <br /> Temperature of cooler acceptable? (G deg C +/ Y 2 <br /> emperature measured from temperature blank? N <br /> Samples received intact (good condition)? Y <br /> ' Volatile samples acceptable? (no headspace) N/A <br /> Correct containers used Y <br /> I Adequate sample volume provided? Y <br /> Samples preserved correctly? N/A <br /> f <br /> Samples received within holding-time? Y <br /> Agreement between COC and sample tabels7 Y <br /> Open cooler radioactive screen at or below bkgrd-) N <br /> 1 <br /> Additional <br /> Comments <br /> mple Custodian Signature/Date Y <br /> 1*7 <br /> Page 1 <br />
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