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Environmental Health - Public
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EHD Program Facility Records by Street Name
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ZUCKERMAN
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2121
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2900 - Site Mitigation Program
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PR0515580
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Last modified
9/14/2020 4:13:15 PM
Creation date
9/14/2020 2:56:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515580
PE
2960
FACILITY_ID
FA0012230
FACILITY_NAME
MCDONALD ISLAND GAS STORAGE FAC
STREET_NUMBER
2121
STREET_NAME
ZUCKERMAN
City
HOLT
Zip
95234
CURRENT_STATUS
01
SITE_LOCATION
2121 ZUCKERMAN
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Argon Labol stories Sample Receipt Checklist <br /> Client Name: /� ��S Date&Time Received: <br /> Project Name: Is (4 JI Client Project Number: [0 - <br /> Received <br /> 0 -Received By: N• Matrix: at Soil <br /> Sample Cater: C ient 1 Laboratory I FedEx I UPS I <br /> Argon Labs Project Number. (' 0-1-v y / <br /> Shipping Container/Cooler in good condition? Samples in proper containers? Yes ✓ No <br /> Yes ✓ No N/A Samples received intact? Yes ✓ No <br /> Samples received under refrigeration? Sufficient sample volume for requested tests? <br /> Yes ✓ No Yes ✓No <br /> Chain of Custody Present? Yes V/No Samples received vdthin holding time? Yes V"�No <br /> Chain of Custody signed by all parties? Do samples contain proper preservative? <br /> Yes No Yes ✓leNo N/A <br /> Chain ofCustody matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes v/No Yes 'Z No (None submitted_) <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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