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SU0007237 SSNL
EnvironmentalHealth
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PA-0800182
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SU0007237 SSNL
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Entry Properties
Last modified
5/7/2020 11:32:57 AM
Creation date
9/6/2019 11:00:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0007237
PE
2632
FACILITY_NAME
PA-0800182
STREET_NUMBER
17048
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
APN
051-120-62 & 36
ENTERED_DATE
6/20/2008 12:00:00 AM
SITE_LOCATION
17048 N LOCUST TREE RD
RECEIVED_DATE
6/20/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOCUST TREE\17048\PA-0800182\SU0007237\NL STDY.PDF
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EHD - Public
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FGL Environmental 1%wl Doc ID: F3REC005.005 <br /> Revision Date: 2/13/09 Page: 1 of 1 <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> L Number of ice chests/packages received: f <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(R(5I) for the same day of sampling or <br /> .� received at room temperature(RRT)if sampled 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 tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately orb, les received.. <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 <br /> 6. Were sample custody seals intact? Yes No N/ <br /> Sign and date the COC. place in a ziplock and Put in the same ice chest as the sam <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° C. If many packages are received at one time check for <br /> tests[H.T.'s/rushes/Bacti's to prioritize further review. Please notify Microbiology personnel <br /> immediately of bacti samples received. <br /> 3 Do the number of bottles received agree with the COC? No N/A <br /> 3. Were samples received intact?(i.e. no broken bottles, leaks etc.) a No <br /> 4. Were sample custody seals intact'? es N N/ <br /> Sign and date the COC. obtain UMS 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? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked and accepted? Yes No N//A <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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;i.e.temps)must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> (3-9574) <br /> Resolution Neil Anderson & Associates <br /> STK0933467 <br /> — <br /> SRP-04/21/2009-12:47:01 <br />
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