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CO0054779 (2)
Environmental Health - Public
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CO0054779 (2)
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Entry Properties
Last modified
11/19/2024 10:19:26 AM
Creation date
6/29/2022 3:16:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0054779
PE
2200
STREET_NUMBER
3566
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304
APN
23906018
ENTERED_DATE
3/28/2022 12:00:00 AM
SITE_LOCATION
3566 W ELEVENTH ST
RECEIVED_DATE
3/28/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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L-Torrent <br />AESONA I OH INC <br />Sample Receipt Checklist <br />Client Name: PES Environmental, Inc Date and Time Received: 2/24/2022 9 55:00AM <br />Project Name: Pear Ave, South Received By: er <br />Work Order No.: 2202264 <br /> Physically Logged By: Lorna Imbat <br />Checklist Completed By: Lorna Imbat <br />Carrier Name: Client Drop Off <br />Chain of Custody (COG) Information <br />Chain of custody present? Yes <br />Chain of custody signed when relinquished and received? Yes <br />Chain of custody agrees with sample labels? Yes <br />Custody seals intact on sample bottles? Not Present <br />Sample Receipt Information <br />Custody seals intact on shipping container/cooler? Not Present <br />Shipping Container/Cooler In Good Condition? Yes <br />Samples in proper container/bottle? Yes <br />Samples containers intact? Yes <br />Sufficient sample volume for indicated test? Yes <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes <br />Container/Temp Blank temperature in compliance? No Temperature: 8.0 °C <br />Water-VOA vials have zero headspace? No VOA vials submitted <br />Water-pH acceptable upon receipt? N/A <br />pH Checked by: n/a pH Adjusted by: n/a <br />Comments: <br />483 Sinclair Frontage Rd., Milpitas, CA 95035 I ref 408.263.5258 I fax 408.263.8293 I www.torrentlab_com <br />Total Page Count: 39 Page 37 of 39
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