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SR0080691_SSNL
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SR0080691_SSNL
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Last modified
11/19/2024 3:59:57 PM
Creation date
11/19/2019 8:17:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080691
PE
2602
FACILITY_NAME
MADZIER PROPERTY
STREET_NUMBER
11006
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
Zip
95336
APN
22803026
ENTERED_DATE
6/3/2019 12:00:00 AM
SITE_LOCATION
11006 E HWY 120
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Yes <br />Yes <br />No N/A <br />No <br />No <br />No <br />No <br />No <br />No <br />N/A <br />N/A FGL <br />CIST` <br />—0281 4.040 <br />FGL Environmental Doc ID: 3D0900002_SOP_12-2.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-L tory Condition Upon Receipt (Attach to COC) (213--4-101 <br />Sample ample Receipt at: CC CH VI <br />Number of ice ches s packages received: 1 Shipping tracking # <br />Were samples received in a chilled condition? Temps:13.a/ / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br />Were sample custody seals intact? <br />If required, was sample split for pH analysis? <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put • <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Were samples received in a chilled condition? Temps: /12414:444__/ <br />Acceptable is above freezing to 6E C. If many packages are received at one time check or tests/H. . s/rushes/ <br />Shipping tracking numbers: <br />Do the number of bottles received agree with the COC? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) o No <br />Were sample custody seals intact? Yes No IA <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />[Exception: Oil A: Grease, VOA and CrVI verified in labl <br />VOAs checked for Headspace? <br />Have rush or project due dates been checked and accepted? <br />Were all analyses within holding times at time of receipt? <br />Attach labels to the containers and include a copy of the COC for lab de <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 />same ice chest as the samples. <br />1 <br />51-HiS14141(-4 -1- 644 6s--s -14 <br />No <br />No <br />No <br />Yes No <br />No <br />No <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comr <br />contacts) <br />(3-16608) <br />Live Oak Geo Environmental <br />STK1937101 <br />CTC-05/17/2019-16:33:09
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