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SR0081206 SSNL
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SR0081206 SSNL
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Entry Properties
Last modified
12/26/2019 2:14:29 PM
Creation date
12/26/2019 1:59:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081206
PE
2602
FACILITY_NAME
CALIFORNIA ISLAMIC CENTER
STREET_NUMBER
12882
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05807023
ENTERED_DATE
9/26/2019 12:00:00 AM
SITE_LOCATION
12882 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12-11.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> inter-L-tory Condition Upon Receipt (Attach to COC) ���87 <br /> Sample Receipt at;", CH VI <br /> 1. Number of icpac ages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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? ANo <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks eNo <br /> 5. VOAs checked for Headspace? N <br /> 6. Were sample custody seals intact? Yes No A <br /> 7. If required, was sample split for pH analysis? s No <br /> 8. Were all analyses within holding times at time of receipt? Yes N <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put-in same 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: / . 2 <br /> Acceptable is above freezing to 6jA C. If many packages are eceived at one time7checkfosts/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: i� n <br /> 14X� <br /> 7-7U'5 <br /> /-/- //'// - -<,� <br /> 3. Do the number of bottles received agree with the COC? Yes' No N/A <br /> g <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No j <br /> 5. 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 /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved. o Q /A FGL <br /> IException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Q. � No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/A <br /> 6. Were all analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COC f rvery. <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: �; tt� f1k �' � t►?rv„s�'r�rt?! <br /> Problem: <br /> Resolution: <br /> vTs�yi ✓ ✓v <br /> (Please use the back of this sheet for additional comments iI V-yip%vJ/%LVJ17-10:�1 1 L <br /> contacts) J <br />
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