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ARCHIVED REPORTS_XR0004991
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MUNFORD
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3755
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3500 - Local Oversight Program
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PR0545591
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ARCHIVED REPORTS_XR0004991
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Entry Properties
Last modified
9/16/2020 12:03:07 AM
Creation date
3/19/2020 4:57:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004991
RECORD_ID
PR0545591
PE
3526
FACILITY_ID
FA0005972
FACILITY_NAME
DICK MAU TRUCKING
STREET_NUMBER
3755
STREET_NAME
MUNFORD
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3755 MUNFORD AVE
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i <br /> Argon Laboratories Sample Receipt Checklist <br /> SClient Name A fC Date& Time Received 05 P 7 I a2, 15- 3 o <br /> Protect Name r �` / °z Client Project Number S 9 14 3 y 3 Uo�z- <br /> Received 8y 21"11 Matrix iter Soil I <br /> Sample Carrier Client 1 aborato FedEx 1 UPS 1 <br /> Argon labs Protect Number CoSzzf <br /> Shipping Container 1 Cooler in good condition? Yes Na NIA 2 <br /> Samples received under refrigeration? Yes ✓ No <br /> Chain of Custody Present? Yes 'L No <br /> Chain of Custody signed by all parties? Yes No <br /> Chain of Custody matches all sample labels? Yeses No <br /> Samples received in proper containers? Yes No <br /> Samples received intact? Yes '� Nc <br /> Sufficient sample volume for requested tests? Yes No <br /> Samples received within holding time? Yes `� No <br /> Do samples contain proper preservative? Yes ✓ No NIA <br /> Do VOA vials contain zero headspace? Yes- No (None submitted,____) <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> t <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> . rt <br /> Acbon Taken <br />
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