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ARCHIVED REPORTS_XR0012193
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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3500 - Local Oversight Program
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PR0545890
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ARCHIVED REPORTS_XR0012193
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Last modified
7/22/2020 12:09:52 PM
Creation date
7/22/2020 11:32:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012193
RECORD_ID
PR0545890
PE
3526
FACILITY_ID
FA0025958
FACILITY_NAME
ROEK BROTHERS CONSTRUCTION
STREET_NUMBER
102
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15502065
CURRENT_STATUS
02
SITE_LOCATION
102 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> Quality Assurance/Quality Control Plan Page 3 <br /> document transport conditions Further discussion of sample preservation is included in the <br /> sampling protocols (Sections 11 and 12) <br /> 5.0 CHAIN-OF-CUSTODY PROCEDURES <br /> 5.1 SAMPLE LABELS <br /> k Each sample container will be labeled prior to filling to prevent misidentification The label will <br /> contain at least the following information <br /> k <br /> F <br /> - Sample number which uniquely identifies the sample <br /> - Project title or number <br /> - Location of sample collection I <br /> - Soil boring or well number, as applicable <br /> - Name of collector <br /> - Date and time of collection <br /> - Type of analysis requested <br /> f <br /> 5.2 CHAIN-OF-CUSTODY RECORD AND SAMPLE ANALYSIS REQUEST FORM <br /> A chain-of-custody record for each container or sample will be used to track possession of the <br /> samples from the time they were collected in the field until the time they are analyzed in the <br /> laboratory <br /> E <br /> The chain-of-custody record will contain the following information. <br /> 1 Site Name <br /> 2 Signature of collector <br /> 3 Date and time of collection <br /> 4 Sample identification number(s) <br /> 5 Number of containers in sample set <br /> 6 Description of sample and container(s) <br /> 7 Name and signature of persons, and the companies or agencies they <br /> represent, who are involved in the chain of possession <br />` 8 Inclusive dates and times of possession <br /> 9 Requested analysis for each sample <br />
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