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ARCHIVED REPORTS_XR0005623
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_XR0005623
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Entry Properties
Last modified
11/19/2024 1:50:29 PM
Creation date
4/28/2020 2:12:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005623
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 /> Argon Laboratories Sample Receipt Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 319/2004 1456 <br /> Project Name Tulebur9 Warehouse Client Protect Number 98-263 <br /> Received By E P Matrix Water 0 Soil ❑ <br /> Sample Carrier Client ❑ Laboratory Q Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E03181 <br /> Shipper Container in good condition? Samples received in proper containers? Yes Q No ❑ <br /> N/A Yes Q No ❑ Samples received intact? Yes ❑ No ❑ <br />' Samples received under refrigeration? Yes [] No ❑ Sufficient sample volume for requested tests? Yes ❑ No ❑ <br /> Chain of custody present? Yes No ❑ Samples received within holding time? Yes El No ❑ <br />' Chain of Custody signed by all parties? Yes 0 No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes [] No ❑ (None submitted ❑ ) Yes Q No ❑ <br /> ------ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW------- <br />' • Hate Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br />' Contacted By ----- ----- w---- Date — ------- Time w --- <br /> Call Received By <br /> Comments <br /> 1 <br />
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