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ARCHIVED REPORTS_XR0002368
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_XR0002368
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Last modified
1/23/2020 3:29:40 PM
Creation date
1/23/2020 2:50:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002368
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
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SJGOV\sballwahn
Tags
EHD - Public
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Amon Laboratories Sam le Receipt Checklist <br />' Client Name ATC Associates, Inc Date&Time Received 10/15/2004 1253 <br /> Project Name Customer Tracy Client Project Number 54 25847 0037 <br />' Received By E P Matrix Water ❑ Sod Q <br /> Sample Carrier Client ❑ Laboratory 0 Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E10331 <br />' Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> NIA Yes ❑ No ❑ Samples received intact? Yes [] No ❑ <br />' Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes ❑ No ❑ <br /> Chain of custody present? Yes 0 No Samples received within holding time? Yes No ❑ <br /> Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> NIA Yes ❑ No [] <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted Yes <br /> ❑ 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 /> Acbon Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By�— — -- -- — .� _ Date-- ----------Time T �. <br /> Call Received By <br />' Comments <br /> t <br />
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