My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS_XR0012893
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
W
>
WATERLOO
>
2537
>
3500 - Local Oversight Program
>
PR0545857
>
ARCHIVED REPORTS_XR0012893
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/12/2020 10:26:05 PM
Creation date
7/15/2020 3:10:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012893
RECORD_ID
PR0545857
PE
3528
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
21
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
r <br /> SPL HOUSTON ENVIRONMENTAL LABORATORY <br /> SAMPLE LOGIN CHECKLIST <br /> DATE: ✓ TIME• CLIENT NO. <br /> LOT NO. CONTRACT NO. <br /> CLIENT SAMPLE NOS. <br /> SPL SAMPLE NOS. : 31/ <br /> YES NO <br /> 1. Is a Chain-of-Cdstody form present? ✓ <br /> 2. Is the COC properly completed? y} <br /> If no, describe what is incomplete: <br /> If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about the situation) <br /> 3. Is airbill/packing list/bill of lading with shipment? <br /> If yes, ID#: . 8n 603826` <br /> 4. Is a USEPA Traffic Report present? ✓ <br /> 5. Is a USEPA SAS Packing List present? <br /> 6. Are custody seals present on the package? <br /> If yes, were they intact upon receipt? <br /> 7. Are all samples tagged dr labeled? <br /> Do the sample tags/labels match the COC? <br /> If no, has the client been contacted about it? <br /> (Attach subsequent documentation from client about the situation) <br /> 8. Do all shipping documents agree? <br /> if no, describe what is in nonconformity: <br /> 9. Condition/temperature of shipping container: IMTACT <br /> 10. Condition/temperature of sample bottles:_ a� p� <br /> 11. Sample Disposal?: SPL disposal v Return to client <br /> NOTES (reference ite number if applicable) : <br /> r <br /> ATTEST: G...- DATE: <br /> DELIVERED FOR R OLUION: RECD DATE: <br /> RESOLVED: DATE: <br />
The URL can be used to link to this page
Your browser does not support the video tag.