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ARCHIVED REPORTS_XR0002353
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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3500 - Local Oversight Program
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PR0545195
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ARCHIVED REPORTS_XR0002353
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Entry Properties
Last modified
1/23/2020 3:32:12 PM
Creation date
1/23/2020 11:54:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002353
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Argon Laboratories Sample Receipt Checklist <br /> Client Name ATC Associates, Inc Date&Time Receivea 8/1912004 1410 <br /> Project Name Customer 437 Client Project Number 54 25847 0037 <br /> Received By D S Matrix Water 0 Sod ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Protect Number E08381 <br /> Shipper Container in good condition Samples received in proper containers? Yes 0 No ❑ <br /> NIA Yes No ❑ Samples received intact? Yes P/1 No ❑ <br /> Samples received under refrigeration? Yes 0 No ❑ Sufficient sample volume for requested tests?Yes F71 No ❑ <br /> Chain of custody present? Yes No El Samples received within holding time? Yes No <br /> Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes Q No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑) Yes 0 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 /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br />
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