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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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1534 F�Willow Pass Road,Pittsburg,CA 94565-1701 <br /> MC/_ampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Faz:(925)252-9269 <br /> l.• http://wW,.m ..pbe Ix./E-mm7:mainQnccamPbeO.com <br /> "When Quality Counts" <br /> Sample Receipt Checklist <br /> Date and Time Received: 311712017 12:32 <br /> Client Name: GEOCON Env.Consultants Dale Logged: 311712017 <br /> Project Name: Manteca Firing Range;E8857.02.02 Received by: Maria Venegas <br /> WorkOrder Ns: 1703918 Matrix: Soil <br /> Logged by: Tina Perez <br /> Cartier: OLWA Drop-In <br /> Chain of • n•(COCl Information <br /> Chain of custody present? <br /> Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes 0 No❑ <br /> Chain of custody agrees with sample labels? Yes <br /> ❑J No❑ <br /> Sample IDs noted by Client on COC? <br /> Yes No❑ <br /> Date and Time of collection noted by Client on COC? Yes <br /> No❑ <br /> Sampler's name noted on COC? <br /> Yes ❑ No❑ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ <br /> No Ll NA© <br /> Shipping container/cooler in good condition? Yes <br /> No❑ <br /> Samples in proper containers/bottles? <br /> Yes ® No❑ <br /> Sample containers intact? <br /> Yes © No❑ <br /> sufficient sample volume for indicated test? <br /> Yes No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? <br /> Yes © No❑ NA El <br /> Temp: NA© <br /> Sampleliemp Blank temperature � <br /> Water-VOA vials have zero headspace/no bubbles? <br /> Yes El No El <br /> Sample labels checked for coned preservation? Yes ❑ <br /> No .I <br /> NA <br /> pH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ElNo 11 <br /> Samples Received on Ice? <br /> Yes ❑ No <br /> 11CMR3 Samples' NA❑1 <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ElNo❑ <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ <br /> No❑ NA <br /> 300.1,537,539? <br /> Comments: <br /> Page 8 of 8 <br />
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