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SU0005596 SSNL
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SU0005596 SSNL
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Entry Properties
Last modified
5/7/2020 11:31:38 AM
Creation date
9/9/2019 10:09:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005596
PE
2622
FACILITY_NAME
PA-0500580
STREET_NUMBER
651
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240
APN
02902057
ENTERED_DATE
9/8/2005 12:00:00 AM
SITE_LOCATION
651 W SARGENT RD
RECEIVED_DATE
9/6/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SARGENT\651\PA-0500580\SU0005596\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: F3REC005.001 <br /> Revision Date: 10/20/00 Page: 1 of 1 <br /> -Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: "� <br /> 1. Number of ice chests/packages.received: ,)r <br /> 2. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C. Note as AOI(arrived on ice)if chilling was begun for samples received on <br /> same day of sampling. Samples may be received without.cooling if sampled within one hour of receipt. <br /> 3. Do the number of bottles received agree with the COC? Yes No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? N/A Yes No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t eWs. <br /> r. <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 tests/H.T.'s/rushesBacti's to <br /> prioritize further review. Please notify Microbiology personnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? C No N/A <br /> 3. Were samples received intact? (i.e. no broken bottles, leaks etc.) � No <br /> 4. Were sample custody seals intact? io—Yes No <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? 07 <br /> 2. Did bottle labels correspond with the client's ID's? � No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No e5TFGL <br /> 4. Were all analyses within holding times at time of receipt? Vdes1:;N No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> r. <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) m�t be resolved. <br /> 1. Person Contacted: <br /> Phone Number:' ,; <br /> Initiated By: Date: <br /> Problem: <br /> l3_^r3r u �O��eCr, <br /> Resolution: �reG15i�Yt� 2 <br /> X898 <br /> . 5,2co_O� <br /> Tv-i2�l ! <br /> 1 <br /> _.ucn label with lab number here <br />
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