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SR0082191 SSNL
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2600 - Land Use Program
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SR0082191 SSNL
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Entry Properties
Last modified
7/9/2020 8:15:22 PM
Creation date
7/1/2020 12:43:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082191
PE
2602
FACILITY_NAME
AFFONSO PROPERTY
STREET_NUMBER
1424
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18302008
ENTERED_DATE
6/15/2020 12:00:00 AM
SITE_LOCATION
1424 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environm ntal Doc 1D: 3DO900002_SOP_12-14.DOC <br /> Revision Date: 1 /09/14 Page 1 of 1 <br /> Inter-Lab tory Condition Upon Receipt (Attach to COC) *,IV M <br /> Sample Recei t 2aclkages <br /> TK CC CH VI <br /> 1. Number f received: Shipping tracking# <br /> 2. Were samples les received in a chilled condition? Temps: 16 �/ <br /> , / <br /> Surface wa er 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 sarr ples received intact? (i.e. no broken bottles, leaks etc. a No <br /> 5. VOAs ch cked for Headspace? Yes No NZA <br /> 6. Were sarr ple custody seals intact? Yes No <br /> 7. If require , was sample split for pH analysis? Yes N <br /> 8. Were all alyses within holding times at time of receipt? <br /> 9. Verify s ple date, time and sampler name No <br /> Sign and date e COC, place in a ziplock and put i e ame ice ch samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Recei tat SP: <br /> 1. Were pies received in a chilled condition? Temps: 2- / -2- 1 <br /> Acceptabit is above freezing to 6jA C. If many packages are received at one time check for tests/RT.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> �fr( l�oncit �CODUSz , 1�UIa3L�G <br /> 3. Do the n ber of bottles received agree with the COC? ItNo N/A <br /> 4. Were sar iples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sar iple custody seals intact? Yes No <br /> Sign and date e 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? 040) No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No < FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab! <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have ru h or project due dates been checked and accepted? No N/A <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels o the containers and include a copy of the COC for lab deliv <br /> Sample Recei t, Login and Verification completed by (initials): <br /> Discrepancy ocumentation: <br /> Any items ab ve which are"No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resoluti n: <br /> (3-!6608 <br /> 2. Person ontacted: Live oak Geo Environmental <br /> Initiate By: <br /> Problem: STK 2 0 3 7 2 4 9 <br /> Resolution: <br /> IV-05/26/20-)0-15:52:50 <br /> (Please use t back of this sheet for additional com ___ — <br /> sere <br /> contacts) <br />
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