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ARCHIVED REPORTS_XR0002034
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_XR0002034
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Entry Properties
Last modified
1/30/2020 12:35:29 PM
Creation date
1/30/2020 10:44:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002034
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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EHD - Public
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S2Mbag M ahcds pap 5 <br /> The laboratory portion of the form should be completed by laboratory persanriel and will contain the <br /> following triformation <br /> • Name of person receiving the sample <br /> • Laboratory sarnple murnber <br /> • Dare and time of sample receipt <br /> • Analyses requested <br /> • Sample condition and temperature <br /> D l S Sample Transfer and Shapment <br /> .k chain-of-custody record sill always accompany samples When transferrirg samples, the individuals <br /> relinquishing and receiving the samples will sign, date, and dote the time on the chain-o custody record <br /> Samples will be packaged properly for shipment and dispatched to the appropriate laboratory for analysis <br /> The chain of custody record will accompany each shipment The method of shipment, courier name(s), <br /> and other pertinent information will be entered in the chain-ef-custody record <br /> D 2 Laboratory Custody Procedures <br /> A designated sample custodian will accept custody of the shipped samples and ven*y Chat the information <br /> on the sample label ma,ches that on the chain-of-custody record Inforira M repardino method of <br /> • delivery and sample conditions will also be checked on the chaui-of-custody record The custodian will <br /> then enter the appropnate data into the laboratory sample tracking system The laboratory custodian may <br /> use the sample nn,rnber on die samp'e label or may assign a unique laboratory number to each sample <br /> The custodian wil then transfer the sample to the proper analyst or store the s mple in the apprepnate <br /> secure area <br /> Laboratory personnel are respwmble for tae care and custody of sarrip.es from the Irene they axe received <br /> =til the sample is exhausted Once at the laboratory, the samples will be handled in accordance with <br /> L S Environmental Protection Agency SW-846 Test Methods for Evaluaiing Solid Waste <br /> Phys allChcTmcal Methods 'third Edition, for the intended analyses All data sheets, chromatograpbs, <br /> and laboratory records will be filed as part of the permanent documentation <br /> D 3 Corrections to Dceumentatnon <br /> original data recorded in field notebooks, chain-of-custody records, sampling Mfortnation sheets, and <br /> other fo= should be written in ink ']hese documents should not be altered, destroyed, or discarded <br /> even if they are illegible or contain inaccuracies that require a replacemen, document <br /> If an erro- is made or found on a documen•, the Indivnd,aa'. ma-king the corrections will do so by crossing a <br /> single line throrgh the error, entering the correct information, and initialing azad dating the orange The <br /> erroneous mfortnatiori will be obliterated Any subsequent errar(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 and extracts for 60 days after the laboratory issues a <br /> wnrLen report Lnless notified by the program manager, eLcess or unused samples should be disposed of <br /> by the laboratory to an appropnate manner consistent with applicable government regulations <br />
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