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ARCHIVED REPORTS_XR0002030
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1210
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3500 - Local Oversight Program
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PR0545245
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ARCHIVED REPORTS_XR0002030
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Entry Properties
Last modified
1/30/2020 11:59:12 AM
Creation date
1/30/2020 10:42:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002030
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Sunplzap?.ieilicds <br /> Page� <br /> The laboratory portion of the form should be completed by laboratory personnel and will contain the <br /> follow-mg mforrnataon <br /> • Name of person receiving the sample <br /> + Laboratory sample number <br /> • Date and time of sample receipt <br /> • Analyses requested <br /> • Sample condition and temperature <br /> D 1 5 Sample Transfer and Shipment <br /> A chain-of-custody record %ill always accomgany samples When transferrt g samples, the uUh j,:duals <br /> rely, gwshing and receiving the samples will sign, date, and Holt the tune on the chain-okuswdy Mo <br /> Samples will be packaged properly for shiprnrat and dispatched to ttc appropriate laboratory for analysts <br /> The chain of-custody record w,-U accompany each shipment The method of shipment courier name(s), <br /> and other pertinent utfotmatiou will be entered in the chain-okustody record <br /> D 2 Laboratory Custody Procedures <br /> A designated sample custod:ari will accept custody of the shipped samples and venry LI the inforrnat:cn <br /> on the sampl: label rna tiles that on the chain-of-custody record InrortraLcri rega-ding method of <br /> delivery and sample conditions will also be checked on the char-of-custody record The custodian will <br /> then enter the appropnale data mto the laboratory sample tracking system Toe laberatory custodian may <br /> use the sample number on &e sarap a label or may assign a unique laboratory cumber to each sample <br /> The custodian will then transfer the saaipie to the proper analyst or s-.ore the sample in the apprepnate <br /> secure area <br /> Laboratory personnel are resxws-,ble for tine care and custody of sarnp.es from ta,� Iune they are received <br /> until the sample is exhausted Once at the laboratory, the sarTles will be handled in accordance with <br /> U S Environmental Protection Agency S«-846 Test Methods for Evalt.,aLM Solid Waste <br /> Physical/Che-mical Methods, Third Edition, for the intended analyses All data sheets, chromatograpbs, <br /> and laboratory records will be fled as parr of the permanent documentation <br /> D 3 Corrections to Dociuneratation <br /> Original date recorded in field notebooks, chain-of-custody recoris, sampling information sheers, and <br /> other Forms should be written in ink These documents should riot be altered, destroyed, or discarded <br /> even if they are illegible or contain inaccuracies that require a replacemen,document <br /> Lf an erro- is made or found ou a doeumen•, the individial maklog the correMons will do so by crossing a <br /> Ragle line through the error, entering the correct information, and initialing and dating the change The <br /> erroneous information will be obliterated Any subsequent error(s) discovered on a document will be <br /> corrected All corrections will be initialed and dated <br /> D 4 Sample Storage and Disposal <br /> • The analytical laboratory should retain samples acrd extracts for 60 days aster the laboratory issues a <br /> wrinen report Unless notified by the prograrn manager, excess or unused samples should be disposed of <br /> by the laboratory in an appropriate manner consistent with applicable government regulations <br />
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