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COMPLIANCE INFO_2020
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0515945
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
5/19/2020 4:08:47 PM
Creation date
5/19/2020 4:05:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0515945
PE
2220
FACILITY_ID
FA0012392
FACILITY_NAME
SWISS AMERICAN SAUSAGE CO
STREET_NUMBER
251
STREET_NAME
DARCY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19819003
CURRENT_STATUS
01
SITE_LOCATION
251 DARCY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\dsedra
Tags
EHD - Public
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Analytical, <br /> � 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M C C a m p b e i l A n a l y I}i C a l, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Safety Kleen Date and Time Received: 1/21/2020 09:57 <br /> Project: SW10590;SW METALS Date Logged: 1/21/2020 <br /> Received by: Tina Perez <br /> WorkOrder W: 2001811 Matrix: Soil Logged by: Tina Perez <br /> Carrier: Client Drop-In <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No ❑ <br /> Chain of custody signed when relinquished and received? Yes ❑ No ❑d <br /> Chain of custody agrees with sample labels? Yes ❑d No ❑ <br /> Sample IDs noted by Client on COC? Yes ❑d No ❑ <br /> Date and Time of collection noted by Client on COC? Yes ❑d No ❑ <br /> Sampler's name noted on COC? Yes ❑ No ❑d <br /> COC agrees with Quote? Yes ❑ No ❑ NA❑./ <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑4 No ❑ NA❑ <br /> Shipping container/cooler in good condition? Yes ❑4 No ❑ <br /> Samples in proper containers/bottles? Yes ❑d No ❑ <br /> Sample containers intact? Yes ❑d No ❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No ❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes ❑d No ❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No ❑d <br /> Sample/Temp Blank temperature Temp: NAW <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No ❑ NA❑� <br /> Sample labels checked for correct preservation? Yes ❑d No ❑ <br /> pH acceptable upon receipt(Metal:<2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑� <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:<_2;525.3:<_4; Yes ❑ No❑ NA❑d <br /> 530::57; 541: <3; 544: <6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1mg/L)? Yes ❑ No❑ NA❑d <br /> Comments: <br /> Page 10 of 10 <br />
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