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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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PR0540671
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/9/2019 2:15:40 PM
Creation date
11/6/2018 8:37:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0540671
PE
2220
FACILITY_ID
FA0010362
FACILITY_NAME
G&S ENTERPRISE
STREET_NUMBER
1700
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205-3020
APN
14325005
CURRENT_STATUS
01
SITE_LOCATION
1700 N BROADWAY AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\B\BROADWAY\1700\PR0540671\COMPLIANCE INFO 2016 - PRESENT.PDF
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900M SOP 12-19.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Interory Condition Upon Receipt(Attach to COC)f�,22/ld3 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ackages received: ! Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: I <br /> Surface water SWTR batt samples;A sample that has a temperature upon receipt of�l_Oe C,whet—her iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours. <br /> 3. Do the number of bottles received agree with the COC.? o N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) Yoso <br /> 5. VOM checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split for pH analysis? No (NIAS. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock an4 the ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is shove freezing to 64%C. If many packages are received at one time check for tmts/H.T.'s/nuhes/ <br /> 2. Shipping tracking numbers: <br /> 1�103c��f3F'�co <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks eta) c No <br /> 5. Were sample custody seals intact? 'e No N/A <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FOL <br /> lExeaptlon:OR&Grease,V0A and CrVI vwiaed In tabl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rash or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? Xel No (733 <br /> Attach labels to the containers and include a copy of the COC for lab e ' y <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications(i.e.temps)must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By. Date: <br /> Problem: <br /> Resolution: <br /> (3-17751) <br /> 2. Person Contacted: S uii�y,t� ii3e <br /> Initiated By: v <br /> Problem: C m Y l '3 -)l L:Z <br /> Resolution: u 1 1X 1 -+L.1.V J <br /> TV-02/26/2016-14:18:07 <br /> (Please use the back of this sheet for additional'con here <br /> contacts) :« <br />
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