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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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ASSET Laboratories <br /> Please review the checklist below. Any NO signifies non-compliance. Any non-compliance will be noted and must be understood <br /> as having an impact on the quality oft he data. All tests will be performed as requested regardless of any compliance issues. <br /> If you have any questions or further instruction, please contact our Project Coordinator at (702) 307-2659. <br /> Cooler Received/OpenedOn 3/18/2017 Workorder N023518 <br /> Rep sample Temp(Deg C) 59 IRGun ID'. 2 <br /> Temp Blank ❑ Vas 0 No <br /> Cartier name: Golden State Overnight <br /> Last digits of Tracking No: 5635 Packing Material Used. Foam Insert <br /> Cooling process: O Ice ❑ Ice Pack ❑ Cry Ice ❑ Other ❑ None <br /> Sample Receipt Checklist <br /> 1.Shipping container/cooler in good condition? Vas 0 No El NotPresent ❑ <br /> 2.Custody seals intact,signed,daedonshipppingcontainer/cooler? Vas ❑ No El NotPresent 0 <br /> 3.Custody seals intact on sample bottles? Vas ❑ No El NotPresent 0 <br /> 4.Chain of custody present? Vas 0 No ❑ <br /> 5.Sampler's name present in COC? Vas 0 No El <br /> 6.Chain of custody signed when relinquished and received? Vas 0 No ❑ <br /> 7.Chain of custody agrees with sample labels? Vas 0 No ❑ <br /> 8.Samples in proper container/bottle? Vas 0 No El <br /> 9.Sample containers intact? Vas 0 No El <br /> 10.Sufficient sample volume for indicated test? Vas 0 No El <br /> 11.All samples received within holding time? Vas 0 No El <br /> 12.Temperature of rep sample or Temp Blankwi[hin acceptable limit? Vas 0 No El NA ❑ <br /> 13.Water-VOA vials havezero headspace? Vas ❑ No El NA 0 <br /> 14.WaterPITacceptable upon receipt? Vas ❑ No ❑ NA 0 <br /> Example: pH>12 for(ON S', pH W for Metals <br /> 15.Did the bottle labels indicate correct preservatives used? Vas ❑ No El NA 0 <br /> 16.Were there Non-Conformance issues a login? Vas 0 No E] NA ❑ <br /> Was Client notified? Vas 0 No El NA ❑ <br /> Comments See Correspondence. <br /> Checklist Completed By VR TJ 3/21/2017 Reviewed By /i'I®C' 3/22/2017 <br />
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