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SU0010583 SSNL
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SU0010583 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:38 AM
Creation date
9/6/2019 10:22:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010583
PE
2622
FACILITY_NAME
PA-1500145
STREET_NUMBER
12151
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20114002
ENTERED_DATE
8/10/2015 12:00:00 AM
SITE_LOCATION
12151 S JACK TONE RD
RECEIVED_DATE
8/10/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\12151\PA-1500145\SU0010583\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID:3DO900002 SOP 12-31.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Latony Condition Upon Receipt (Attach to COIL) zj::�VYIY <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ches packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: Aw—/ / / / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >100 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.) es No <br /> 5. VOAs checked for Headspace? es No N/A <br /> 6. Were sample custody seals intact? Yes No, QI <br /> 7. If required, was sample split for pH analysis? Yes No ((NZAA> <br /> 8. Were all analyses within holding times at time of receipt? No <br /> i <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put i 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: <br /> Acceptable is above freezing to 6 a.C. If many packages are received at one time check for tes%1HT. es/ <br /> 2. Shipping tracking numbers: <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. Were sample custody seals intact? es No N/A <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? es No <br /> 2. Did bottle labels correspond with the client's ID's? es N/A No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified In lab] <br /> 4. VOAs checked for Headspace? es No NA <br /> 5. Have rush or project due dates been checked and accepted? No NU/A <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC f 1 ell <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 beresolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3-16608) <br /> Initiated By: Live Oak Geo Environmental <br /> Problem: <br /> Resolution: STK153947 4 <br /> (Please use the back of this sheet for additional comments 1 NMP-08/26/2015-10:42:21 <br /> contacts) <br />
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