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SR0080570 SSNL
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2600 - Land Use Program
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SR0080570 SSNL
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Entry Properties
Last modified
11/19/2019 10:12:29 AM
Creation date
11/19/2019 9:01:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080570
PE
2602
FACILITY_NAME
BUSALACCHI WINERY
STREET_NUMBER
15467
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
05308020
ENTERED_DATE
5/3/2019 12:00:00 AM
SITE_LOCATION
15467 E KETTLEMAN LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- 0 tory Condition Upon Receipt (Attach to COC) <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: /0 / <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 o N/A <br /> 6. Were sample custody seals intact? Yes No <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? No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in the a ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: 3 / <br /> Acceptable is above freezing to 6-%,C. if many packages are received at o e time check for tests/ .T.'s/rushes/ <br /> 2. Shipping tracking numbers:�—� L 2��-v S:-I (jo (� <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.) es 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? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? kes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Cx- No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? �s No <br /> Attach labels to the containers and include a copy of the COC for lab eh <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: <br /> Initiated By: <br /> Problem: ' , n1S�•1c.CCl1l <br /> Resolution: ` 14; 304 <br /> — <br /> (Please use the back of this sheet for additional commen ;TC_.,,, _ 213 1 y-1 J.3`7 <br /> contacts) <br />
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