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ARCHIVED REPORTS_SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
Environmental Health - Public
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24550
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2900 - Site Mitigation Program
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PR0537774
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ARCHIVED REPORTS_SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
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Entry Properties
Last modified
1/29/2020 6:19:39 PM
Creation date
1/29/2020 4:40:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
RECORD_ID
PR0537774
PE
2950
FACILITY_ID
FA0021779
FACILITY_NAME
FED X GROUND TRACY PROJECT
STREET_NUMBER
24550
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
24550 S HANSEN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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- _ . . <br /> Page 31 of 31 <br /> t <br /> ID M <br /> dente WORK ORDER #: 14=05-91 <br /> rrrrax riff <br /> arstc rd� P Inc- <br /> SAMPLES . <br /> naSAMPLES - CONTAINERS & LABELS: <br /> Comments: <br /> ❑Sample(s) NOT RECEIVED but listed on COC <br /> ❑Sample(s) received but NOT LISTED on COC <br /> ❑Holding time expired—list sample ID(s) and test <br /> ❑Insufficient quantities for analysis— list test <br /> ❑Improper container(s) used—list test <br /> ❑ Improper preservative used—list test <br /> ❑ No preservative noted on COC or label—list test& notify lab <br /> ❑Sample labels illegible—note test/container type C <br /> Sample label(s) do not match COC—Note in comments 3 <br /> t _ o <br /> Sample ID 2 f 1 4,) rX 1 <br /> ❑ Date and/or Time Collected <br /> ❑Project Information <br /> ❑#of container(s) <br /> ❑Analysis <br /> compromised—Note in comments <br /> El Sample container(s) <br /> ❑Water present in sample container <br /> ❑Broken e <br /> ❑Sample container(s) not labeled <br /> ❑ Air sample container(s) compromised—Note in comments <br /> ❑Flat <br /> ❑Very low in volume <br /> ❑Leaking (Not transferred -duplicate bag submitted) <br /> ❑Leaking (transferred into Calscience Tedlar®Bag*) <br /> ❑Leaking (transferred into Client's Tedlar®Bag`) <br /> ❑Other: <br /> HEADSPACE—Containers with Bubble > 6mm or'/< inch: <br /> Container of Cont. AnalYsia <br /> Container lD(s) # f Vials Sample# ID(s) received <br /> Sample# Container #af Vials Sample# Reoceived <br /> ID(s) Rec¢Ivetl <br /> Comments: <br /> Initial / Date: 61� 051 14 <br /> *Transferred at Client's request. soP rtoo oso(03/31111) <br />
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