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ARCHIVED REPORTS_XR0003624
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0003624
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Last modified
2/10/2020 4:46:25 PM
Creation date
2/10/2020 4:11:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003624
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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COOLER RECEIPT FORM <br /> #ect: �Uazo-1 -2jLog N • <br /> Cooler received on. and checked on joy <br /> Ts—i- ure <br /> Were custody papers present' . . . . . . . . . . . . . . . . . . . . . . E NO <br /> Were custody papers properly filled outs . . . . . . . . . . . . . . . NO <br /> i <br /> Were the custody papers signed' . . . . . . . . . . . . . . . . . . . . . . . . .YES NO b <br /> Was sufficient ice used' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ES NOS <br /> Did all bottles arrive in good condition (unbroken) ' . . . . . . . E NO <br /> Did bottle labels match COC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> Were proper bottles used for analysis indicated' . . . . . . . . NO <br /> Correct preservatives used? . . . . . . . . . . . . . . . . . . . . . . . . . NO <br /> VOA vials checked for headspace bubbles? . . . . . . . . . . . . . SES NO <br /> Note which voas (if any) had bubbles : * <br /> Sample descriptor- Number of vials : <br /> *All VOAs with headspace bubbles have been set aside so they will not be <br /> used for analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .YES NO <br /> List here all other Sobs received in the same cooler: <br /> Client Job # NET log <br /> (coolerrec) <br />
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