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ARCHIVED REPORTS XR0011899
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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7675
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3500 - Local Oversight Program
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PR0544802
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ARCHIVED REPORTS XR0011899
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Entry Properties
Last modified
11/19/2024 10:19:09 AM
Creation date
9/4/2019 11:52:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011899
RECORD_ID
PR0544802
PE
3528
FACILITY_ID
FA0005153
FACILITY_NAME
FAYETTE MANUFACTURING CORP
STREET_NUMBER
7675
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25014012
CURRENT_STATUS
02
SITE_LOCATION
7675 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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y, Argon Laboratories Sample Receipt Checklist <br /> Client Name: A-7 Date&Time Received: 15 / y /4 4-5 <br /> Project Name: t�1��� r pio pe r y Client Project Number: -S~l l ��� o vo <br /> Received By: "� Matrix: , �e /Soil/ <br /> Sample Carrier: client / L orato / FedEx / UPS / <br /> Argon Labs Project Number: <br /> Shipping Container/Cooler in good condition? Yes No N/A <br /> Samples received under refrigeration? Yes ✓ No <br /> Chain of Custody Present? Yes ✓ No <br /> Chain of Custody signed by all parties? Yes V/ No <br /> Chain of Custody matches all sample labels? Yes / No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes V No <br /> Sufficient sample volume for requested tests? Yes No <br /> Samples received within holding time? , Yes No <br /> Do samples contain proper preservative? Yes No N/A <br /> Do VOA vials contain zero headspace? Yes No (None submitted <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW' <br /> Date Client Contacted: Person Contacted: <br /> Contacted by: Subject: <br /> Comments: <br /> Action Taken: <br />
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