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ARCHIVED REPORTS_XR0008725
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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3032
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2900 - Site Mitigation Program
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PR0537118
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ARCHIVED REPORTS_XR0008725
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Entry Properties
Last modified
7/7/2020 9:55:55 AM
Creation date
7/7/2020 9:37:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008725
RECORD_ID
PR0537118
PE
2957
FACILITY_ID
FA0021303
FACILITY_NAME
WATERLOO FOOD & FUEL
STREET_NUMBER
3032
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3032 WATERLOO RD
QC Status
Approved
Scanner
LSauers
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EHD - Public
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I <br /> Cal Tech Environmental Laboratories Inc, <br />' Sample Receiving Check List <br /> Date received 71L;: -/0 3 Time � 01 ,, 3 0 _ <br />' Lab ID# T :? _G Client _ AC E--/'! c— _ <br /> T <br />' Answer Yes No NIA <br /> COC Present X ❑ ❑ <br />' # of packages ❑ ❑ ❑ <br /> Sample received on ice ❑ ❑ <br /> Type of ice Blu et ■ ❑ <br />' Temperature 211c— ■ ❑ <br /> Samples intact ❑ ❑ <br />' Leaking bottles ❑ g p <br /> Custody seals intact ❑ ❑ <br /> COC completed E�C, ❑ ❑ <br /> Bottle labels matching COCl 11 El <br /> liePreservation Chk �yl ❑ ❑ <br /> Preserved at lab ❑ ❑ <br />' Sample volume sufficient ❑ C❑ <br /> Notify analysts ❑ ❑ <br /> Subcontrct analyses' ❑ ❑ <br /> 1 <br /> Discrepancies and Notifications <br />' Sample Receipt by. <br /> 1 <br />
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