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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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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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Argon Laboratories Sample Recei t Checklist <br />' Client Name Ground Zero Analysis Date&Time Received 1/5/2003 1710 <br /> Project Name Tuleburg Warehouse Client Project Number 98-263 <br /> Received By H C Matrix Water 2 Soil ❑ <br />' Sample Carrier Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number E01051 <br />' Shipper Container in good condition? Samples received in proper containers? Yes [] No ❑ <br /> N/A Yes 0 No ❑' Samples received intact? Yes l ❑ No ❑ <br /> Samples received under refrigeration? Yes Q No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Chain of custody present? Yes 0 No ❑ Samples received within molding time? Yes 0 No ❑ <br />' Chain of Custody signed by all parties? Yes ❑ No ❑ Do samples contain proper preservative? <br /> NIA ❑ Yes Q No ❑ <br />' Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes Q No ❑ (None submitted ❑) Yes No ❑ <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br />'ie Date Client Contacted Person Conacted <br /> Contacted By Subject <br />' Comments <br /> Action Taken <br /> 1 <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br />' '—Contacted By ` � ^� Date —� — <br /> Time <br /> Call Received By <br /> Comments <br /> I <br />
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