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ARCHIVED REPORTS_XR0009417
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FONTANA
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2130
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3500 - Local Oversight Program
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PR0545053
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ARCHIVED REPORTS_XR0009417
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Last modified
12/11/2019 11:27:39 AM
Creation date
12/11/2019 9:46:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009417
RECORD_ID
PR0545053
PE
3528
FACILITY_ID
FA0005720
FACILITY_NAME
SMITH CANAL PUMP STATION
STREET_NUMBER
2130
STREET_NAME
FONTANA
STREET_TYPE
DR
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2130 FONTANA DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Ar on Laboratories Sample Receipt Checklist <br /> Client Name: 4%Z Date&Time Received: 0,9 1 /. <br /> Project Name, 5�c�fo S <br /> 1 n m � Coy c�/ Client Project Number: 6-Y, &--- 0 0or �— <br /> Received By ��� Matrix: Soil 1 <br /> Sample Carrier; Client 1 a oto 1 FedEx 1 UPS J <br /> Argon Labs Project Number: D6 A 1;L--�-I <br /> Shipping Container J Cooler in good condition? Samples received in proper containers? Yes No <br /> NIA Yes No Samples received intact? Yes No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes No Yes No <br /> Chain of Custody Present? Yes No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No NIA Yes No <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspece? <br /> Yes No (None submitted Yes No <br /> ` + - ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted; <br /> Person Contacted: <br /> Contacted by: Subject: <br /> Comments: <br /> i <br /> E <br /> Action Taken: <br /> I <br /> �4 <br /> OTHER <br /> I. <br /> Date Client Contacted: Person Contacted: <br /> Comments: <br /> i <br />
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