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SU0008377 SSNL
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SU0008377 SSNL
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Entry Properties
Last modified
5/7/2020 11:33:28 AM
Creation date
9/5/2019 11:15:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0008377
PE
2622
FACILITY_NAME
PA-1000160
STREET_NUMBER
10750
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20710004 06
ENTERED_DATE
7/23/2010 12:00:00 AM
SITE_LOCATION
10750 S HENRY RD
RECEIVED_DATE
7/22/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\10750\PA-1000160\SU0008377\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc TD: DREC005.005 <br /> Rcvhlop Date: 2!13!09 Page: 1 of I <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> I. Number of ice chestslpackages received: <br /> 2. Were samples received in a chilW condition? Temps. I 1-/-/ <br /> _ <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of s=Vling or <br /> received at room tenWratum(RRT)if sum*d within one hour of receipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for testslH.t.'skushes/8acti's to <br /> prioritize futsher review, Please notify Microbiology persetmel i:lomdiately oIthee- <br /> s recchvd.. <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(ix,no broken bottles,leaks,etc.) <br /> S. VOAs checked for Headspacc? a N! <br /> 6. Were sample custody seals intact? No N1.4 <br /> Sign and date the COC.place in a ziplock and put in the same ice crust <br /> P Sarnple Receipt Review completer)by(initials): <br /> Sample Receipt at SP: <br /> I. Were samples received in a chilled condition? Temps:—f�i I <br /> Acceptable is above freezing to 6°C. If many packages are received at one rime check for <br /> tests4l,T.'shwhesBacti's to prioritize farther review. Please notify Microbiology petsonncl <br /> immediately of bacti sawics received, <br /> 2. Do the number of bottles received agree with the COC? No NIA <br /> 3. Were samples received intact?(i.e.no broken bottles,leaps etc.) No <br /> 4. Were sample custody seals intact? a No NIA i <br /> Sign and date the COC.obtain L049 sample numbers, select tnethodshcsm and bels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? es No <br /> 2. Did bottle labels correspond with the client`s US? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No NIA FGL <br /> 4. VOA9 checked for Headspace? No N/A <br /> 5. Were all at3alysc3 within holding times at time of receipt? es No <br /> 6. Have rush or project duc dates been checked and accepted? Yes No' N11A <br /> Attach labels to the contairtm acid include a copy of the COC for lab delM3 <br /> Sample Receipt,Login and Verification completed by(initials). ` <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not inset specifications li,e.temps)roust be resolved. <br /> I. Person Contented: Phone Number; <br /> lnioated By:__ Date: <br /> Problem- <br /> Resolution: <br /> (3-15608) <br /> Live Oak Go.Eriromental <br /> STK1050502 <br /> M i-12/01/2010-12:04:58 <br />
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