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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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Entry Properties
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
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EHD - Public
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Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 10/26/2004 1403 <br /> Protect Name Tuleburge Warehouse Client Protect Number 263 <br />' Received By E P Matrix Water Q Soil ❑ <br /> Sample Carrier Client ❑ Laboratory 0 Ped Ex ❑ UPS ❑ Other ❑ <br />' Argon Labs Project Number E10671 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No <br /> NIA Yes Q No ❑ Samples received mtacO YesEJ❑ No <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes Q No ❑ <br /> I <br /> Chain of custody present? Yes No Samples received within holding time? Yes No ❑ <br />' Chain of Custody signed by all parties? Yes Q No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspacel <br /> Yes Q No ❑ (None submitted ❑) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted _ 1��a61ay Person Contacted So env,- L4L-"-jL-– <br /> Contacted By U A Subject <br /> Comments JAk IIJQ 12[LL <br /> aAe– Ll <br /> Action Taken u �- <br /> t <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> ��2�^� L��e. -- -- -- Date l{ ------ -- <br /> Contacted By � o— I <br /> Time c, <br /> Call Received By ►�. <br /> Comments Cke^f +b L ko W"-A etrtiS t S;s <br /> H„ + Va w- Cll 33 <br /> L�rh "N ✓ 0t L " Y -tet. <br /> I <br />
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