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2900 - Site Mitigation Program
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PR0508012
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Last modified
7/3/2019 3:13:21 PM
Creation date
7/3/2019 11:55:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508012
PE
2960
FACILITY_ID
FA0007884
FACILITY_NAME
SURLAND HOMES
STREET_NUMBER
2532
STREET_NAME
DORSET
STREET_TYPE
LN
City
TRACY
Zip
95376
APN
23830005
CURRENT_STATUS
01
SITE_LOCATION
2532 DORSET LN
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 3D00002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at' CC CH VI <br /> 1. Number of is ests/packages received: —L--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 >IO°C,whether iced or not, <br /> should be flagged unless the time since sampk collection hds'been less than two hours. <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.) j No <br /> 5. VOAs checked for Headspace? No N/A <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? e 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):-E7 <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6*C. If many packages are received at one time check for tests/H.T.'s/mshes/ <br /> 2. (p�n�'a% r .,7r\.,7r\ t(/ /�� <br /> 3. Do the number of bottles received agree with the COC? Oes <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? No /A <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe . <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? � e No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved. es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Ves <br /> No5. Have rush or project due dates been checked and accepted? No / <br /> 6. ere'al1 analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for jab de, <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: (3-13758) <br /> Initiated By: Abbate Farms <br /> Problem: <br /> Resolution STK 15 3 213 5 <br /> (Please use the back of this sheet for additional commel SII-03/04/2015-12: — <br /> 01:06 <br /> contacts) <br />
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