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ARCHIVED REPORTS_XR0007547
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TURNER
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2420
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3500 - Local Oversight Program
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PR0545769
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ARCHIVED REPORTS_XR0007547
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Entry Properties
Last modified
10/8/2020 10:31:05 PM
Creation date
6/9/2020 11:46:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007547
RECORD_ID
PR0545769
PE
3528
FACILITY_ID
FA0004139
FACILITY_NAME
Plaza liquor and Gas
STREET_NUMBER
2420
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
2420 W TURNER RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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LSauers
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EHD - Public
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i <br /> Cal 'Tech Environmental Laboratories Inc, <br /> i - <br /> ISample Receiving Check List <br /> Date received 7/q/03 Time <br /> Lab ID# n-7-0-z--7 Client <br /> �z <br /> Answer Yes No NIA <br /> COC Present ❑ p p <br /> # of packages p p ❑ <br /> Sample received on ice p p ❑ <br /> Type of ice B lu et ■ ❑ <br /> �� eTemperature (� � ❑ <br /> Samples intact ❑ ❑ p <br /> rLeaking bottles p ❑ p <br /> Custody seals intact ❑ ❑ ❑ <br /> COC completed r7 ❑ 7-1 <br /> Bottle labels matching COC p ❑ ❑ <br /> IPreservation Chk p ❑ p <br /> Preserved at lab p Cl ❑ <br />' Sample volume sufficient p p Cl <br /> Notity analysts ❑ ❑ ❑ <br /> Subccntret analyses? ® ❑ ❑ G <br /> Discrepancies and Notifications <br /> i <br />' r <br /> Sample Receipt by- <br /> 1 <br />
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