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ARCHIVED REPORTS_XR0008573
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MOFFAT
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757
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3500 - Local Oversight Program
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PR0545572
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ARCHIVED REPORTS_XR0008573
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Entry Properties
Last modified
10/10/2020 10:22:59 PM
Creation date
3/18/2020 4:50:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008573
RECORD_ID
PR0545572
PE
3528
FACILITY_ID
FA0006855
FACILITY_NAME
ECKERT COLD STORAGE COMPANY
STREET_NUMBER
757
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95366
APN
22104041
CURRENT_STATUS
02
SITE_LOCATION
757 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> Anon Laboratories Sample Receipt Checklist <br /> Client Name: C 6"d or fir;,-t6 Teri Date&Time Received: <br /> Project Name: C.{'-eet Cotd S G Client Project Number. C f 0 oto <br /> Received By: Matrix: <Y—M Soil 1 <br /> Sample Carrier: ClienteizzZ FedEx 1 UPS 1 <br /> 1 Argon Labs Project Number: if.�� <br /> Shipping Container 1 Cooler in goodcondition? Samples received in proper containers? Yes ✓ No <br /> 1 WA Yes - No Samples received intact? Yes ,/ No <br /> Samples received under rafrigeration7 Sufficient sample volume for requested tests? / <br /> Yes �No Yes ✓ No <br /> Chain of Custody Present? Yes ✓ No Samples received within holding time? Yes„ ,/ No <br /> Chain of Custody signed by all parties?/ Do samples contain proper preservative? <br /> Yes `� No NIA Yes No <br /> Chain of Custody matches all sample la els? Do VOA vials contain zero headspace? <br /> Yes No (None submitted)Yes V/Na <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 /> Action Taken: <br /> l <br /> OTHER <br /> Date Client Contacted: Person Contacted: <br /> 1 Comments: <br />
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