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ARCHIVED REPORTS_XR0007264
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_XR0007264
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Entry Properties
Last modified
7/23/2020 8:11:26 AM
Creation date
7/23/2020 8:05:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007264
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
Scanner
LSauers
Tags
EHD - Public
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, t <br /> Argon Laboratories Sample Receipt Checklist <br /> Client Name 6: oAi L-`4&I S Date&Time Received J 1 IT 1 C3 15 JO <br /> Project Name 115 J .� Client Project Number a z� <br /> Received By -7A Matrix ater Sod 1 <br /> Sample Camer Clien Laboratory 1 FedEx 1 UPS 1 <br /> Argon Labs Project Number <br /> Shipping Container 1 Cooler in good condition? Samples received in proper containers? Yes No <br /> WA—1-- Yes— No Samples received intact? Yes No <br /> Samples received under refngerabon? Sufficient sample volume for requested tests? <br /> Yes `-'� No Yes No <br /> Chain of Custody Present? Yes ✓No Samples received within holding time? Yes No <br /> Chain of Custody signed by all parttes? Do samples contain proper preservative? <br /> Yes '� No NIA Yes No <br /> Chain of Custody matches all sample iabets? Do VOA mals contain zero headspace? <br /> Yes !/No (None submitted )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 /> Action Taken <br /> OTHER <br /> Date Client Contacted Person Contacted <br /> Comments <br />
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