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SU0011074 SSNL
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PA-1600231
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SU0011074 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:57 AM
Creation date
9/6/2019 10:03:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011074
PE
2622
FACILITY_NAME
PA-1600231
STREET_NUMBER
23669
Direction
S
STREET_NAME
MANTECA
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
22611035
ENTERED_DATE
10/4/2016 12:00:00 AM
SITE_LOCATION
23669 S MANTECA RD
RECEIVED_DATE
10/3/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MANTECA\23669\PA-1600231\SU0011074\SS STUDY .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 tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: /ST3' / CC CH VI <br /> 1. Number of ice ch packages received: I Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: // / / / <br /> Surface water SV 1R 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? es 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? 46P No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in the ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: �j <br /> 1. Were samples received in a chilled condition? Temps: " / / / / <br /> Acceptable is above freezing to 6.4 C. If y packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: �O/ ^ , /3 <br /> 3. Do the number of bottl�receiv agree with the(COC? No N/A <br /> i4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ces 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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No I ) FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? No N/A <br /> 6. Were all analyses within holding times at time of receipt? V No <br /> Attach labels to the containers and include a copy of the COC for lab deliver}. <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 /> (3-16608) <br /> 2. Person Contacted:Initiated LiVe Oak Geo r�a,Vjrorumuntal <br /> Problem:By. <br /> Resolution: <br /> 5TK1738665 <br /> (Please use the back of this sheet for additional c IV-07/12/2017-16:13:57 -r here <br /> contacts) __ <br />
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