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ARCHIVED REPORTS_XR0005613
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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8200
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3500 - Local Oversight Program
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PR0545621
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ARCHIVED REPORTS_XR0005613
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Last modified
11/19/2024 1:50:29 PM
Creation date
4/28/2020 2:10:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005613
RECORD_ID
PR0545621
PE
3528
FACILITY_ID
FA0003977
FACILITY_NAME
SPEEDY FOOD #2*
STREET_NUMBER
8200
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
CURRENT_STATUS
02
SITE_LOCATION
8200 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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1 <br /> POGL Environmental Doc ID li3P.EC005 002 <br /> Revision Date 20/31/02 Wage ] of] <br /> Stockton - C'ondlt'On Upon Receipt (Attach to COQ) - <br />' <br /> Sample Receipt STK <br /> P P Oil <br /> I Number of Ice chests/packages received <br />' 2 Were samples received in a chilled condition? Temps <br /> Acceptable is above freezing to 6° C Also acceptable is received on ice (ROI) for the same day of sampling or <br />' received at room temperature (RRT) if sampled within one hour of receipt Client contact for temperature failures <br /> must be documented below If many packages are received at one time check for tests/H T 'slrushes/Bach's to <br /> prioritize further review Please notify Microbiology personnel iirimediately of bacti samples received <br />' 3 Do the number of bottles received agree with the COC? Y No NIA <br /> 4 Were samples recelved intact (l e no broken bottles, leaks etc ) No <br /> 5 Were sample custody seals uitact? N/ Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest s mples <br />' Sample Receipt Review completed by (initials) <br /> Sample Receipt at SP <br /> Were samples received in a chilled condition? Temps <br /> Is Acceptable is above freezing to 6° C If many packages are received at one time check for tests/H T s/rushesBacti's to <br /> pi iontize further review Please notify Microbiology personnel immediately of bath samples received <br /> 2 Do the number of bottles received agree with the COCA � No N/A <br /> 3 Were samples received intact? (i e no broken bottles, leaks etc ) e No <br /> 4 Were sample custody seals intact' r Yes No <br /> Sign and date the COC, obtain LEMS sample mimlocrs, select methods/tests and gent labels <br />' Sample V�xification, Labeling and Distribution <br /> 1 Were all requested analyses understood and acceptable? e No <br /> en <br /> 2 Did bottle labels correspond with the client's ID's? e No <br /> 3 Were all bottles requiring sample preservation properly preserved Yes No 6� FOL <br /> 4 Were all analyses within holding times at time of receipt V. No <br />' 5 Have rush erP 1ro ect due Cates been checked and accepted? Yes No <br />' Attach labels to the containers Mrd include a copy of the COC for lab delivery <br /> Sample Receipt, Login and Ve a kation completed by (Initials) <br /> DtSci epaocy Docurnen,attoi; (3-14996) <br /> y ltzms aboiJe �\lhlcn are "I = ter ao not meet speclficat Ground Zero Analysis <br /> STK0438871 <br /> IV-12/27/2004-14 18 41 <br />
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