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SU0011787
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SU0011787
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Entry Properties
Last modified
5/7/2020 11:35:26 AM
Creation date
9/4/2019 5:20:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011787
PE
2631
FACILITY_NAME
PA-1800093
STREET_NUMBER
21600
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01308043
ENTERED_DATE
5/2/2018 12:00:00 AM
SITE_LOCATION
21600 N DAVIS RD
RECEIVED_DATE
5/1/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\APPL.PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\CDD OK.PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\EH PERM .PDF \MIGRATIONS\D\DAVIS\21600\PA-1800093\SU0011787\EHD COND.PDF
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EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chests/packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: q p / <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? 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 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? ��O <br /> o <br /> 9. Verify sample date, time and sampler name <br /> Sign and date the COC,place in a ziplock and put in same 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:J / / I / (..f/ / C /V <br /> Acceptable is above freezing o 6-N C. If many p ages are received a ne time check for tes .T.'slrushes/ <br /> 2. hi p' tracking n els: �� /f Il <br /> �� �vv <br /> /D � 3 <br /> 3. Do the number of ottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? Yes No <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? o <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No <Z:Tn� FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No �1QTA' <br /> 6. Were all analyses within holding times at time of receipt? <M>,No <br /> Attach labels to the containers and include a copy of the COC b eli ery. <br /> Sample Receipt, Login and Verification completed by (initial <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: <br /> Initiated By: (3-16964) <br /> Problem: JIM,� !Jirzzn <br /> Resolution: J� -If <br /> 7 <br /> (Please use the back of this sheet for additional comments c ry-ezi7��z�lq_16..2Lz:46 <br /> contacts) <br />
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