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ARCHIVED REPORTS_XR0007254
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WILSON
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2662
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3500 - Local Oversight Program
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PR0545898
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ARCHIVED REPORTS_XR0007254
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Entry Properties
Last modified
7/23/2020 8:12:39 AM
Creation date
7/23/2020 8:00:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007254
RECORD_ID
PR0545898
PE
3528
FACILITY_ID
FA0005555
FACILITY_NAME
MALIK ALL TIRES WHEEL
STREET_NUMBER
2662
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11706033
CURRENT_STATUS
02
SITE_LOCATION
2662 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
Tags
EHD - Public
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Aron Laboratories Sample Receipt Checklist <br /> Client Name GP_-Q �X � A I��/SI S _ Date&Time Received c' 1 15__` Z <br /> • Project Name H Q Client Protect Number .-32-7- <br /> Receved By �Ge; Matnx Water ED-' Soil ❑ Other <br /> Sample Carr e Client Laboratory ❑ Fed Fit ❑ UPS ❑ Other ❑ <br /> Argon Labs Pro}ect Number Srzogq <br /> Shipper Container in good condition? Sufficient sample volume for requested tests?Yes Q- No ❑ <br /> NIA ❑ Yes No ❑ Samples received within holding time? Yes No ❑ <br /> Samples received under refrigeration? Yes [+�' No ❑ Do samples contain proper preservative? <br /> WA ❑ Yes No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> NIA ❑ Yes [ /No ❑ <br /> Chain of Custody signed by all parties? Yes +❑- No ❑ VOA vials preservative type <br /> HCL [ WS203 ❑ Other I <br /> Chain of Custody matches all sample labels? Do VOA vials contain zero headspace? <br /> t <br /> Yes Qi No ❑ NIA ❑ Yes a-- No ❑ � <br /> [�-}r <br /> Samples received in proper containers? Yes ❑� No ❑ Samples received intact? Yes No ❑ � <br /> • _____ ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted By Subject <br /> Comments <br /> Acton Taken <br /> ADDITIONAL TEST(S)REQUEST I OTHER <br /> Contacted By Date Time <br /> Call Received By <br /> Comments <br /> • <br /> v502 <br />
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