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ARCHIVED REPORTS_2014
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4400 - Solid Waste Program
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ARCHIVED REPORTS_2014
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Last modified
7/17/2020 3:53:44 PM
Creation date
7/3/2020 10:57:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2014
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_2014.tif
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EHD - Public
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FGL L,nvironmental Doc ID:3D0900002_SOP_IO.DOC <br /> Revision Date: 11118/13 Page 1 of 1 <br /> Inter-LatoAy Condition Upon receipt(Attach to COC) % is <br /> Sample Receipt at: STI,, CC CII VI <br /> 1. Number of ice the tJpackages 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>I OP 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 etc.) es No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No l <br /> 7. If required,was sample split for pH analysis? pes-�) <br /> No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time sampler No <br /> Sign and date the COC,place in a ziplock and put in t f e 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 6°C. if many packages are received at one time check for tests/H.T.'s/rusbes/ <br /> 2. Shipping tracking numbers: .111 W, <br /> 3. Do the number of bottles received agree with the COC?404Ye-s No N/A <br /> 4. Were samples received intact?{i.e.no broken bottles,leaks etc.} Na <br /> S. Were sample custody seals intact? No N/A <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? sr No <br /> 3. Were all bottles requiring sample preservation properly preserved? s No FGL <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No %A <br /> Attach labels to the containers and include a copy of the COC for lab �eliv , <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 /> i <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: <br /> Problem: Forward Inc, <br /> Resolution: <br /> STK1435796 <br /> (Please use the back of this sheet for additional commen <br /> contacts) IV-06/13/2014-10:30:15 <br />
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