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SU0010433 SSNL
EnvironmentalHealth
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SU0010433 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:35 AM
Creation date
9/6/2019 11:09:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010433
PE
2622
FACILITY_NAME
PA-1500048
STREET_NUMBER
19750
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01318050 51 52 53
ENTERED_DATE
3/30/2015 12:00:00 AM
SITE_LOCATION
19750 N LOWER SACRAMENTO RD
RECEIVED_DATE
3/27/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\19750\PA-1500048\SU0010433\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-16.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L story Condition Upon Receipt(Attach to COC) 1�3�/3Z <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ch ackages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? TempsAJPrJ <br /> Surface water SWIR batt samples:A sample that has a temperature upon receipt of>Io°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? aNo N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No !A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name es o <br /> Sign and date the COC,place in a ziplock and put m ame ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> I. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6X C. if many packages are received at one time check for tests/H.T•'strushes/ <br /> 2. Shipping tracking numbers-�TN/100 L V - wV D <br /> fel I( Y-n VO <br /> 1-711 <br /> -7j1 <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? Yand <br /> No N/A <br /> Sign and date the COC,obtain LIMS sample numbers,select methods/trintlabels. <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? QL4 No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> lException:Oil&Grease,VOA and CM voifiW in bbl <br /> NLA <br /> 4. VOAs checked for Headspace? No <br /> 5. Have rush or project due dates been checked and accepted? ts NoN/ <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 fo ab 1€ <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: t -lea t <br /> 2. Person Contacted: <br /> Live Oak Geo ElIviromental <br /> Initiated By: STX1536132 <br /> Problem: <br /> V_.06/09/2015-11-26:40 <br /> -9f,/0912025-11:26:40 <br /> Resolution: <br /> _ here <br /> (Please use the back of this sheet for additional com — — <br /> contacts) _ <br />
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