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ARCHIVED REPORTS_XR0008880
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2358
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2900 - Site Mitigation Program
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PR0543607
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ARCHIVED REPORTS_XR0008880
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Last modified
10/10/2020 10:42:12 PM
Creation date
7/9/2020 10:24:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008880
RECORD_ID
PR0543607
PE
3528
FACILITY_ID
FA0006343
FACILITY_NAME
STOCKTON MOBIL 3*
STREET_NUMBER
2358
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14118221
CURRENT_STATUS
02
SITE_LOCATION
2358 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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A-5 <br /> 4 1 4 Chain-of-Custody Record <br /> A chain-of-custody record was filled out for and accompanied every sample and every shipment <br /> of samples to the analytical laboratory in order to establish the documentation necessary to trace <br /> sample possession from the time of collection The record contained the following information <br /> • Sample or station number or sample I D <br /> • Signature of collector, sampler, or recorder <br /> • Date and time of collection <br /> • Place of collection <br /> • Sample type <br /> • Signatures of persons involved in the chain of possession <br /> • Inclusive dates of possession <br /> The laboratory portion of the form was completed by laboratory personnel and contained the <br /> following information <br /> • Name of person receiving the sample <br /> • Laboratory sample number <br /> • Date and time of sample receipt <br /> • Analyses requested <br /> • Sample condition and temperature <br /> 4 1 5 Sample Transfer and_Shipment <br /> Samples were always accompanied by a chain-of-custody record When transferring samples, <br /> the individuals relinquishing and receiving the samples signed, dated, and noted the time on the <br /> chain-of-custody record Samples were packaged properly for shipment and dispatched to the <br /> appropriate laboratory for analysis The chain-of-custody record accompanied each shipment <br /> The method of shipment, couner name(s), and other pertinent information was entered in the <br /> chain-of-custody record <br /> 4.2 Laboratory Custody Procedures <br /> A designated sample custodian accepted custody of the shipped samples and venfied that the <br /> information on the sample label matched that on the chain-of-custody record Information <br /> regarding method of delivery and sample conditions was also checked on the chain-of-custody <br /> record The custodian then entered the appropriate data into the laboratory sample tracking <br /> system The laboratory custodian either used the sample number on the sample label or assigned <br /> a unique laboratory number to each sample The custodian then transferred the sample(s) to the <br /> proper analyst(s) or stored the sample(s) in the appropnate secure area <br /> iLaboratory personnel are responsible for the care and custody of samples from the time they <br /> were received until the sample wass exhausted Once at the laboratory, the samples were <br /> handled in accordance with U S Environmental Protection Agency SW-846, Test Methods for <br />
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