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SU0009730 SSNL
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PA-1300118
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SU0009730 SSNL
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Entry Properties
Last modified
11/3/2020 12:10:21 PM
Creation date
9/9/2019 9:00:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009730
PE
2627
FACILITY_NAME
PA-1300118
STREET_NUMBER
14647
Direction
N
STREET_NAME
RAY
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
05516029, 41 & 50
ENTERED_DATE
8/16/2013 12:00:00 AM
SITE_LOCATION
14647 N RAY RD
RECEIVED_DATE
8/16/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\4580\PA-1300118\SU0009730\SS STDY.PDF
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EHD - Public
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P'GL Environmental Doc W:3D0900001 SOP 12-4.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice c ackages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR batt samples:A sample that has a temperature upon receipt of>]0°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours. <br /> I 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 <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split for pH analysis? No N/A <br /> S. Were all analyses within holding times at time of receipt? To <br /> 9. Verify sample date,time and sampler name es o <br /> Sign and date the COC,place in a ziplock and p e s ' e ice chest as e 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+N.C. If many packages are received at one ch for testslEl.T rhes/ <br /> 2. Shipping tracking numbers: F-7 <br /> Q 7 /JG/f'�✓ <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4: Were samples received intact?(ie. no broken bottles,leaks etc.) Y No - <br /> 5. Were sample custody seals intact? Yes No C I T <br /> Sign nnd date the COC_obtain I IMS sample wi*ers,select methads.4tests,and print 1i <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? <2M No N/A FGL <br /> [Exception:oil&Grease,VOA and CrVI verited in lab] <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No N/A <br /> 6. Were-all.analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COC fo Ia ivery. <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 /> 2. Person Contacted: Phone Number: <br /> Initiated By: (3-16L�n 60'8) <br /> E <br /> Problem: Live Oak Geo irflmental <br /> Resolution: <br /> (Please use the back of this sheet for additional comment: STK 15 3 4 4 5 3 <br /> contacts) APB-05/05/2015-12:00:50 <br />
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