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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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6250
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2900 - Site Mitigation Program
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PR0542086
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
9/5/2019 12:03:21 PM
Creation date
9/5/2019 9:23:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0542086
PE
2965
FACILITY_ID
FA0004502
FACILITY_NAME
NORMANS NURSERY
STREET_NUMBER
6250
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09317009
CURRENT_STATUS
02
SITE_LOCATION
6250 ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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• Login Sample Receipt Checklist <br /> Client:Kleinfelder Inc Job Number:720-39538-1 <br /> Login Number:39538 List Source:TestAmerica San Francisco <br /> List Number:1 <br /> Creator:Hoang,Julie <br /> Question Answer Comment <br /> Radioactivity either was not measured or,if measured,is at or below N/A <br /> background <br /> The cooler's custody seal,if present,is intact. N/A <br /> The cooler or samples do not appear to have been compromised or True <br /> tampered with. <br /> Samples were received on ice. True <br /> Cooler Temperature is acceptable. True <br /> Cooler Temperature is recorded. True <br /> COC is present. True <br /> COC is filled out in ink and legible. True <br /> COC is filled out with all pertinent information. True <br /> Is the Field Sampler's name present on COC? True <br /> There are no discrepancies between the sample IDs on the containers and True <br /> the COC. <br /> Samples are received within Holding Time. True <br /> Sample containers have legible labels. True I <br /> • Containers are not broken or leaking. True <br /> Sample collection date/times are provided. True <br /> Appropriate sample containers are used. True <br /> Sample bottles are completely filled. True <br /> Sample Preservation Verified. N/A <br /> There is sufficient vol.for all requested analyses,incl.any requested True <br /> MS/MSDs <br /> VOA sample vials do not have headspace or bubble is<6mm(1/4")in True <br /> diameter. <br /> Multiphasic samples are not present. True <br /> Samples do not require splitting or compositing. True <br /> Residual Chlorine Checked. N/A <br /> • <br /> TestAmerica San Francisco <br /> Page 15 of 16 1/10/2012 <br />
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