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COQXZNQTU
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COQXZNQTU
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Entry Properties
Last modified
3/4/2021 1:04:43 PM
Creation date
3/4/2021 12:43:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COQXZNQTU
PE
2546
STREET_NUMBER
800
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21307066
ENTERED_DATE
6/18/2020 12:00:00 AM
SITE_LOCATION
800 E PESCADERO AVE
RECEIVED_DATE
6/18/2020 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> _ McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Qnnkfy Counts" I <br /> http://www.inccainpbell.com/E-mail:main«nccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received: 7/7/2020 11:29 <br /> Project: 2007021;DSL Date Logged: 7/7/2020 <br /> Received by: Kena Ponce <br /> WorkOrder NQ: 2007226 Matrix: Water Logged by: Kena Ponce <br /> Carrier: UPS <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes V No❑ <br /> Chain of custody signed when relinquished and received? Yes ./❑ No❑ <br /> Chain of custody agrees with sample labels? Yes d❑ No❑ <br /> Sample IDs noted by Client on COC? Yes J❑ No❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑J No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA W <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA 0 <br /> Shipping container/cooler in good condition? Yes ❑d No❑ <br /> Samples in proper containers/bottles? Yes No❑ <br /> Sample containers intact? Yes No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes No❑ NA❑ <br /> Samples Received on Ice? Yes No❑ <br /> (Ice Type: BLUE ICE ) <br /> Sample/Temp Blank temperature Temp: 7.9°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NAW <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes No❑ NA❑ <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52;525.3:<-4; Yes ❑ No❑ NA❑d <br /> 530::57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<0.1mg/L)? Yes ❑ No❑ NA W <br /> ---- ---------- --- - ------------------------------- <br /> ----- ----- ------------------------------------- <br /> Comments: <br /> Page 15 of 15 <br />
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