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SU0009927 SSNL
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SU0009927 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:18 AM
Creation date
9/9/2019 9:01:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009927
PE
2625
FACILITY_NAME
PA-1300222
STREET_NUMBER
20325
Direction
N
STREET_NAME
RAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
01117044
ENTERED_DATE
2/4/2014 12:00:00 AM
SITE_LOCATION
20325 N RAY RD
RECEIVED_DATE
2/3/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\RAY\20325\PA-1300222\SU0009927\NL STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_IO.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter Lab Condition Upon Receipt (Attach to COC) / � , <br /> Sample Receipt at: T CC J CH VI <br /> 1. Number of ice chests/packages received: 1 Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:Ql_/ <br /> Surface water SWTR 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? Yes Nor <br /> 6. Were sample custody seals intact? Yes No /A , <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? LNo <br /> 9. Verify sample date, time sampler nes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as t 11 samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> / <br /> Acceptable is abovefreezingto 6° C�;f many packages arexec�ed at t'me check for tests/H.T.'s/rushes/ <br /> 2. Shipping trackingnumbers: VFX)jwf 1 }UVIS,�h���,'}I'J1[� ("t� u <br /> t X016 <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.) Lyngs: <br /> No <br /> 5. Were sample custody seals intact? Yes No /A , <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print LabeN <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? teNo <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? No <br /> 5. Have rush or project due dates been checked and accepted? N/ <br /> Attach labels to the containers and include a copy of the COC 1 e 1 ery. <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. Date-.----- <br /> Problem: <br /> ate:Problem: (3-15419) <br /> Resolution: Chesney Consu 1 t i ng <br /> (Please use the back of this sheet for additional comments c STK 14 3 212 7 <br /> contacts) <br /> NMB-03/12/2014-11:25:25 <br />
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