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SR0080909 SSNL (2)
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SR0080909 SSNL (2)
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Entry Properties
Last modified
5/18/2020 8:55:12 AM
Creation date
11/19/2019 1:36:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080909
PE
2602
STREET_NUMBER
23848
Direction
N
STREET_NAME
PEARL
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00727002
ENTERED_DATE
7/18/2019 12:00:00 AM
SITE_LOCATION
23848 N PEARL RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Do the number of bottles received agree with the COC? t No <br /> Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> VOAs checked for Headspace? No <br /> Were sample custody seals intact? Yes No <br /> If required, was sample split for pH analysis? No <br /> Were all analyses within holding times at time of receipt? No <br /> Verify sample date, time and sampler name Yes No <br />N/A <br />FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-Lab tory Condition Upon Receipt (Attach to COC) /93 2535 <br />Sample Receipt at: CC CH VI <br />Number of ice che s packages received: / Shipping tracking # <br />Were samples received in a chilled condition? Temps: 6. g I I / / <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 />Sign and date the COC, place in a ziplock and put in the In ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Were samples received in a chilled condition? Temps: I / <br />Acceptable is above freezing to 64%. C. If many packages are received at one time check for te ts/H.T.'s/rushes/ <br />Shipping tracking numbers: <br />-04<3'.D-S I D-Sca <br />Do the number of bottles received agree with the COC? cyes No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />Were sample custody seals intact? Yes No C. <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />I. Were all requested analyses understood and acceptable? Yes No <br />Did bottle labels correspond with the client's ID's? No <br />Were all bottles requiring sample preservation properly preserved? Yes No (MSS' FGL <br />[Exception: Oil & Grease, VOA and CrV1 verified in labl <br />VOAs checked for Headspace? (2:. No N/A <br />Have rush or project due dates been checked and accepted? CZ0 No N/A <br />Were all analyses within holding times at time of receipt? Cs%.1:!5 No <br />Attach labels to the containers and include a copy of the COC for lab 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 />Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br /> <br />Phone Number: _ _ <br />( 3-16608 ) <br />Live Oak Geo Environmental <br /> <br />STK1932535 <br />IV-02/19/2019-16:17:14 <br />(Please use the back of this sheet for additional commen <br />contacts)
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