My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MUNDY
>
12112
>
1600 - Food Program
>
PR0544440
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/24/2019 1:24:11 PM
Creation date
7/2/2019 2:58:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544440
PE
1608
FACILITY_ID
FA0025264
FACILITY_NAME
LAURA'S LITTLE JAM COMPANY
STREET_NUMBER
12112
STREET_NAME
MUNDY
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
12112 MUNDY LN
P_LOCATION
02
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-LpbuiqKory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: TK CC CH VI <br /> 1. Number of ice c ckages received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR bact samples: A sample that has a temperature upon 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? o N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks c. es o <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes <br /> 7. If required, was sample split for pH analysis? N <br /> 3 <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC, place in a ziplock and putiia ] e s ice 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 above freezing to 0N.C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: �5 Li(41 r5l s-�1 <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) s No <br /> 5. Were sample custody seals intact? Yes No /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? ��s 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 FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab[ <br /> 4. VOAs checked for Headspace? Yes No /A <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? (� No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 /> 2. Person Contacted: (3-18303) <br /> Initiated By: T <br /> Problem: L`'`"`" .7.,v <br /> Resolution: <br /> Please use the back of this sheet for additional commel e <br /> ( IV-�i3/19/�019-15:55:56 <br /> contacts) <br />
The URL can be used to link to this page
Your browser does not support the video tag.