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SU0012657
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SU0012657
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Entry Properties
Last modified
2/4/2020 8:49:23 AM
Creation date
11/26/2019 9:14:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012657
PE
2622
FACILITY_NAME
PA-1500242
STREET_NUMBER
15410
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206-
APN
18919004, 18919007, 18916012, 18916023
ENTERED_DATE
11/21/2019 12:00:00 AM
SITE_LOCATION
15410 S TRACY BLVD
RECEIVED_DATE
11/20/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12-36.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at,��CC CH VI <br /> 1. Number of ice c ests/packages received: j Shipping tracking <br /> 2. Were samples received in a chilled condition? Temps: 07T—/ <br /> Surface water MR 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? es No N/A <br /> 4. Were samples received intact? (i.e.no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? Ye No 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 __est No <br /> Sign and date the COC,place in a ziplock and put in a ame 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: <br /> Acceptable is above freezing to 6N C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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? No <br /> 2. Did bottle labels correspond with the client's ID's? _s No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No C ,FGL <br /> [Exception:Oil&Grease,VOA and Cr"verified in lab] <br /> 4. VOAs checked for Headspace? fY No �;N-�/A <br /> C1V <br /> 5. Have rush or project due dates been checked and accepted? Yes No /A'. <br /> 6. Were all analyses within holding times at time of receipt? ��\To <br /> Attach labels to the containers and include a copy of the COC fo `, ' ery. <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: Live Oak Geo Environmental <br /> Problem: <br /> Resolution: SW15 51906 <br /> (Please use the back of this sheet for additional comment APB-10/27/2015-10:19:22 <br /> contacts) <br />
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