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SU0010179
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SU0010179
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Entry Properties
Last modified
5/7/2020 11:34:27 AM
Creation date
9/9/2019 10:19:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010179
PE
2631
FACILITY_NAME
PA-1400162
STREET_NUMBER
19330
Direction
E
STREET_NAME
STAMPEDE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
01934019
ENTERED_DATE
8/12/2014 12:00:00 AM
SITE_LOCATION
19330 E STAMPEDE RD
RECEIVED_DATE
8/11/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\S\STAMPEDE\19330\PA-1400162\SU0010179\APPL.PDF \MIGRATIONS\S\STAMPEDE\19330\PA-1400162\SU0010179\CDD OK.PDF \MIGRATIONS\S\STAMPEDE\19330\PA-1400162\SU0010179\EH COND.PDF \MIGRATIONS\S\STAMPEDE\19330\PA-1400162\SU0010179\EH PERM.PDF
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_124.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L tory Condition Upon Receipt (Attach to COC) 1424 Ov <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chess packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:-) '/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >101 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.) Ye No <br /> 5. VOAs checked for Headspace? es ' No N A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes, No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the ice chest as a samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: (0 <br /> Acceptable is above freezing to ON C. If many packages are rete' ed at one time check f r tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 1 <br /> I <br /> O 006'� <br /> V v <br /> 3. Do the n ber of bottles received a ee w th the OC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? es 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? No <br /> 2. Did bottle labels correspond with the client's ID's? Pee No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? No —3 <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for lab deli <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 /> (3-17803) <br /> 2. Person Contacted: va i i vp I F j I Ilea winery <br /> Initiated By: <br /> Problem: STK1636839 <br /> Resolution: <br /> SRP-06/08/2016-13:57:19 <br /> (Please use the back of this sheet for additional coni._ _ J sere <br /> contacts) <br />
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