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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3081
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2900 - Site Mitigation Program
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PR0515030
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FIELD DOCUMENTS
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Last modified
5/8/2020 12:31:23 PM
Creation date
5/8/2020 11:55:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515030
PE
2950
FACILITY_ID
FA0012018
FACILITY_NAME
QUALITY CLEANERS
STREET_NUMBER
3081
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
3081 N TRACY BLVD
P_DISTRICT
005
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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• <br /> unStr <br /> Laboratories, Inc. rage i of <br /> ROVIW,b Quevry Axactt2e5®nos Nnsromnnc <br /> SAMPLE R.v�C IVING REVIEW SHEET <br /> BATCH# <br /> Client Name: Pa axN ; <br /> .vL-r-.jt - PIAA Project: _TAAe, c <br /> Received by: 15g,M A.1 Date/Time Received: <br /> Delivered by : ❑Client ❑SunStar C wrier aGSO ❑FedEx ❑Other <br /> Total number of coolers received 0— Temp criteria=VC>0°C(no frozen containers) <br /> Temperature: cooler#1 2,%2 °C+/-tbe( F (�0.2°C) = Zp.o °C con=tedtemperature <br /> cooler#2 °C+/-the CF (�0.2°C) = °C corrected temperature <br /> cooler#3 °C+/-the 0.2°C) = °C corrected temperature <br /> i <br /> Samples outside temp. but received on ice,i Vjin jtours of final sampling. ❑Yes []No* [6N/A <br /> Custody Seals Intact on Cooler/Sample II ❑Yes []No* [ON/A <br /> Sample Containers Intact [ Yes ❑No* <br /> i <br /> Sample labels match COC ID's ®Yes ❑No* <br /> Total number of containers received match OC ®Yes ❑No* <br /> Proper containers received for analyses requ st on COC ®Yes ❑No* <br /> Proper preservative indicated on COC/conta ners fi r analyses requested ❑Yes ❑No* 1�5N/A <br /> Complete shipment received in good condition wi t correct temperatures,containers,labels,volumes <br /> preservatives and within method specified holding times. [52 Yes ❑No* <br /> *Complete Non-Conformance Receiving Sheet i the ked Cooler/Sample Review-Initials and date z1 •/D• 0 <br /> Comments: <br />
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