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SU0004995 SSNL
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SU0004995 SSNL
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Entry Properties
Last modified
5/7/2020 11:31:24 AM
Creation date
9/4/2019 6:39:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0004995
PE
2622
FACILITY_NAME
PA-0500157
STREET_NUMBER
23725
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
APN
22813023
ENTERED_DATE
4/20/2005 12:00:00 AM
SITE_LOCATION
23725 S FREDERICK AVE
RECEIVED_DATE
4/19/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\23725\PA-0500157\SU0004995\SS STDY.PDF
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EHD - Public
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FGL Envlronirteni Doc[D: F'2RTCOO5_009 <br /> Revision Date: 4/07104 Page_ I of t <br /> Santa Paula - Condition Upon Receipt(Attach to COC) <br /> Sample Receipt / <br /> I. Number of ice chests/packages reeeivp3: <br /> Note as OTC if received over tt7e oouotor unpscioged, <br /> 2. Were samples received in a chilled condition? Temps. < <br /> Acceptable is above f&c=9 to 6°G Abo acceptable is rr:caived on ice(ROt)_for the same day w'sampling or <br /> received at room temperature(RRT)ITsampled within anc hour of receipt_ Client contact for temperature fai3ures <br /> MM(be documented below. If many packages are received at one time check for tes WFt,T,'shushes/6aeti's to <br /> prioritize fiwUw review. Please notify Microbiology personnel itnmediatelyofbacd rgi pks received, <br /> 3, Do the number of bottles received agree with the COC? I/A <br /> s 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 <br /> Sign and date the COC, obtain LIMS sample numbers, select methodshests and print labels, <br /> Sample Verification, Labeling and Distribution: <br /> 1, Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No /'!RAD FGL <br /> 4. Were all analyses within holdb g times at time of rmeipt? y No <br /> 5, Have rush or project Que.dates been checked and accepted? ( '/ No <br /> AttacL labels to the containers and include a copy of the COC for lab del <br /> 7 <br /> Sample Receipt,Login and Vedficsti.0a completed by(initials): <br /> Diserepancy Documentation: <br /> Any items above which aro"No"or do not meet speeifrcatisns (i.e. temps)must be rewh'ed_ <br /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-13102) <br /> Precisim M110-'tech <br /> STK0539103 <br /> M-11/21/2005-1"2t49 here <br />
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