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ARCHIVED REPORTS_XR0009200
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PERSHING
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009200
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Last modified
5/6/2020 11:40:55 AM
Creation date
5/6/2020 11:26:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009200
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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p}sckl Job Sample Receipt Checklist Report V2 <br />' 02/08/2000 <br /> Job Number 200279 Location. 57218 Customer Job ID Job Check List Date.: 02/07/2000 <br /> Project Number 97000260 Project Description Southland - Martinez Project Manager tas <br />' Customer IT Group Contact Rhonda Teicheira <br /> Questions 7 (Y/N) Comments <br />' Chain-of-Custody Present? Y <br />' If "yes", completed properly? Y <br /> Custody seal on shipping container? N <br /> 1 If "yes", custody seal intact? N <br /> 1 Custody seals on sample containers? . N <br /> If "yes", custody seal intact? N <br />' Samples chilled? Y 3 <br /> 17: mperature of cooler acceptable? (4 deg C +/- 2) Y <br /> mperature measured from temperature blank' N <br /> a1-mples received intact (good condition)? Y <br /> volatile samples acceptable? (no headspace) Y <br /> Correct containers used •• Y <br />' Adequate sample volume provided? Y <br />' samples preserved correctly? Y <br /> Samples received within holding-time? - Y <br />' Agreement between COC and sample labels? Y <br /> Open cooler radioactive screen at or below bkgrd? <br /> Additional <br />' Comments - - <br /> ample Custodian Signature/Date .. .. Y <br /> Page 1 <br />
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