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SR0082191 SSNL
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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 Environmental Doc ID: 3D0900002_SOP_12-14.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Leatory Condition Upon Receipt (Attach to COC) ���f <br /> Sample Receipt a K CC CH VI <br /> 1. Number of is ackages received: _Ship��11pi�n}g tracking# <br /> 2. Were samples received in a chilled condition? Temps: 7i -/ / / / / <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? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etNo <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name No' <br /> Sign and date the COC, place in a ziplock and put the same ice ch 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 6iJ C. if many packages are received at one time check for tests!,T.'s/rushes/ <br /> 2. Shipping tracking numbers: q o -� ` C�� ( oc��-3 <br /> -1c54 <br /> r��Ll. 1 <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> q <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? Yes No Zn <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? Yes No FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <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 for b elivery. <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 /> (3-16608) <br /> Initiated By: <br /> Problem: Dive Oak Geo E-vironitlental <br /> Resolution: S TK 2 0 3 6 9 411 <br /> (Please use the back of this sheet for additional commen APB-05/19/2020-16:49:41 <br /> contacts) <br />
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