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PR0541398
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/8/2019 11:03:12 AM
Creation date
2/8/2019 10:47:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541398
PE
2965
FACILITY_ID
FA0011223
FACILITY_NAME
Teichert Vernalis Plant
STREET_NUMBER
36314
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
36314 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002-SOP_12,DOC <br /> Revision Date: 10/09/14 Page 1 of 1 - <br /> Inter-La tory Condition Upon Receipt (Attach to COC)/W-'�/"Z _ <br /> Sample Receipt at: TK CC CH VI <br /> 1. Number of ice che&Wfackages received: / Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps:Af / <br /> Surface water SWTR batt samples:A sample that has a temperatt a on receipt of >10°C,whether 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? 45' <br /> No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? Yes No _ <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes. No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put I s e 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: 4-1 <br /> ---Acceptable-is above freezing-to 6A C— If many packages are received g one time check for tests/Fr:T--'slrushe <br /> 2. Shipping tracking numbers: <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 etc.) No <br /> 5. Were sample custody seals intact? a 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? ges <br /> No - <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No /A <br /> 6. Were all analyses within holding times at time of receipt? a No _ <br /> Attach labels to the containers and include a copy of the COC for lab e <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 /> L_. Person Contacted: Phone Number: <br /> Initiated By: Date: -- <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3-12023) <br /> Initiated By: Luhdorff & Scalmanini Consulting <br /> Problem: <br /> Resolution: STK 14 515 8 2 J <br /> (Please use the back of this sheet for additional corm IV-11/13/2014-10:40:27 !re <br /> contacts) <br />
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