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ARCHIVED REPORTS_REMOVAL ACTION COMPLETION REPORT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0521796
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ARCHIVED REPORTS_REMOVAL ACTION COMPLETION REPORT
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Entry Properties
Last modified
5/26/2020 4:36:57 PM
Creation date
5/20/2020 12:11:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
REMOVAL ACTION COMPLETION REPORT
RECORD_ID
PR0521796
PE
2960
FACILITY_ID
FA0014798
FACILITY_NAME
MOUNTAIN HOUSE NEIGHBORHOOD A - E
STREET_NUMBER
0
STREET_NAME
MASCOT & MARINA
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
20945002 - 20
CURRENT_STATUS
01
SITE_LOCATION
MASCOT & MARINA BLVD
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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15+4 Willow Pass Road.Pittsburg,CA 94565-1701 <br /> M c C a m p b e l l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> When Quality Counts" http://www.mccainpbell.com/E-mail:main(n?mccampbellxom <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies, Inc. Date and Time Received: 10/22/2013 6:13:21 PM <br /> Project Name: #460111114;Mountain House Neigh C Logln Reviewed by: Zoraida Cortez <br /> WorkOrder N°: 1310733 Matrix: Soil Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes No❑ <br /> Chain of custody agrees with sample labels? Yes No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes © No❑ <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes W No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes W No❑ <br /> Container/Temp Blank temperature Cooler Temp: 7.7°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes © No❑ <br /> Metal-pH acceptable upon receipt(pH<2)? Yes ❑ No❑ NA❑.� <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: BLUE ICE ) <br /> *NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 18 of 18 <br />
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