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SR0079948 SSNL
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SR0079948 SSNL
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Entry Properties
Last modified
11/19/2019 8:46:09 AM
Creation date
11/19/2019 8:21:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0079948
PE
2601
STREET_NUMBER
11851
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24205004
ENTERED_DATE
12/5/2018 12:00:00 AM
SITE_LOCATION
11851 W VALPICO RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-7.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> LM <br /> Inter- tory Condition Upon Receipt (Attach to COC) l 0 J 7V 3 <br /> Sample Receipt at• STK CC CH VI <br /> 1. Number of is packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 1'7i / / / / <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. e No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name —6416K No <br /> Sign and date the COC, place in a ziplock and put i the same ice chest ples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: c� <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6iA C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 9+2,OU05�/Uqljo <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) 4ML No <br /> 5. Were sample custody seals intact? 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No NER1 <br /> 5. Have rush or project due dates been checked and accepted? `fUg") No N/A <br /> 6. Were all analyses within holding times at time of receipt? (:2� No <br /> Attach labels to the containers and include a copy of the COC folpab,'delivery. <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: (3-16608) <br /> Initiated By: <br /> Problem: Dive Oak Geo IMAY <br /> .fromental <br /> Resolution: C3 TK'1 0O C 3 4 0 3 <br /> (Please use the back of this sheet for additional comments CM-09/114/20.318-16:45:05 <br /> contacts) <br />
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