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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2103
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2900 - Site Mitigation Program
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PR0543854
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COMPLIANCE INFO
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Entry Properties
Last modified
6/11/2021 4:58:27 PM
Creation date
6/11/2021 3:35:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543854
PE
2960
FACILITY_ID
FA0024935
FACILITY_NAME
FORMER CHEVRON 94054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
01
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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eurofins <br />Lancaster Laboratories <br />Environmental <br />Doc Log ID: 195888 <br />1 111111 1111111111 1111111111 11111 111111 <br />Group Number(s): /857o 7 <br />Sample Administration <br />Receipt Documentation Log <br />All Temperatures in °C. <br />Samples Chilled Details <br />Thermometer Types: DT = Digital (Temp. Bottle) IR = Infrared (Surface Temp) <br />Cooler # Ice Present? Ice Container Corrected Temp Elevated Temp? Thermometer ID Therm Type Ice Tyoe <br />Page 8 of 10 <br />T 717-656-2300 <br />F 717-656-2681 <br />www.LancasterLabs.com <br />2425 New Holland Pike <br />Lancaster, PA 17605-2425 <br />Page 40 of 42 <br />Delivery and Receipt Information <br />Delivery Method: BASC Arrival Timestamp: 09/29/2017 9:35 <br />Number of Packages: Number of Projects: 9 <br />State/Province of Origin: CA <br />Arrival Condition Summary <br />Shipping Container Sealed: Yes Sample IDs on COC match Containers: Yes <br />Custody Seal Present: Yes Sample Date/Times match COC: Yes <br />Custody Seal Intact: Yes VOA Vial Headspace 6mm: No <br />Samples Chilled: Yes Total Trip Blank Qty: 2 <br />Paperwork Enclosed: Yes Trip Blank Type: HCL <br />Samples Intact: Yes Air Quality Samples Present: No <br />Missing Samples: No <br />Extra Samples: No <br />Discrepancy in Container Qty on COC: No <br />Unpacked by Timothy Cubberley (6520) at 13:47 on 09/29/2017 <br />1 DT131 0.8 DT Wet Bagged <br />2 DT131 1.1 DT Wet Bagged <br />3 DT131 0.9 DT Wet Bagged <br />4 DT131 0.8 DT Wet Bagged <br />5 DT131 1.3 DT Wet Bagged <br />6 DT131 0.5 DT Wet Bagged <br />7 DT131 0.4 DT Wet Bagged <br />8 DT131 0.5 DT Wet Bagged <br />9 DT131 1.9 DT Wet Bagged <br />10 DT131 1.3 DT Wet Bagged <br />11 DT131 1.5 DT Wet Bagged <br />12 DT131 0.4 DT Wet Bagged <br />13 DT131 0.6 DT Wet Bagged <br />Client: CA OFFICE
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