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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2804
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3500 - Local Oversight Program
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PR0545172
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SITE HISTORY
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Last modified
1/13/2020 10:57:22 AM
Creation date
1/13/2020 10:42:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545172
PE
3528
FACILITY_ID
FA0009349
FACILITY_NAME
DIESEL PERFORMANCE INC
STREET_NUMBER
2804
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14343001
CURRENT_STATUS
02
SITE_LOCATION
2804 E FREMONT ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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F = <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name: ATC Associates,Inc. Date&Time Received: 08108/11 15:07 <br /> Project Name: Diesel Performance Client Project Number: 54.62577,0001 <br /> Received By: D.C. Matrix: Water ❑ Soil ❑ Sludge ❑ <br /> Sample Carrier: Client [] Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: L108018 <br /> Shipper Container in good condition? Samples received in proper containers? Yes [1 No ❑ <br /> NIA Yes F±] No ❑ Samples received intact? Yes No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests? Yes [J No ❑ <br /> Chain of custody present? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No C <br /> Chain of Custody signed by all parties? Yes No ❑ Do samples contain proper preservaGve7 <br /> NIA ❑ Yes ❑ No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes 0 No ❑ {None submitted D) Yes ❑ No ❑ <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 /> j <br /> i <br /> I <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By: Date: Time: <br /> Call Received By: <br /> Comments: <br /> _ E <br /> i <br /> p <br /> i <br />
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