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ARCHIVED REPORTS_2015_1
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ARCHIVED REPORTS_2015_1
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Entry Properties
Last modified
7/18/2020 12:55:52 PM
Creation date
7/3/2020 10:59:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2015_1
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_2015_1.tif
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EHD - Public
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FGL Environmental Doc ED:3DO900002-SOP-12-19.DOC <br /> Revision Date: 10/09/14 Page I of I <br /> Inter-Laory Condition Upon Receipt(Attach to COQ /J�-��' 9 <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice ches rpackages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:P401-1 <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of;i—(rc,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 qS <br /> 7. If required,was sample split for pH analysis? No 09) <br /> 8. Were all analyses within holding times at time of receipt? SNO <br /> 9. Verify sample date,time and sampler name 0 <br /> Sign and date the COC,place in a ziplock and put in gre-sme i 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 ON C. if many packages are received at one time check for teststi-I.T.'strushest <br /> 2. Ship �g <br /> nicki <br /> b tracking <br /> 3. eof <br /> Jaee with the COC? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) Y No <br /> 5. Were sample custody seals intact? es No <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 CO FGL <br /> [Exception:OU&Grease,VOA and CrVI verified In lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? No <br /> 6. Were all analyses within holding times at time of receipt? Y No <br /> Attach labels to the containers and include a copy of the COC for lab dAiV:q75-." <br /> Sample Receipt, Login and Verification completed by(initials): -01Z:Z�l <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 /> (3-8692) <br /> 2. Person Contacted: <br /> Re <br /> Initiated By: public Services <br /> Problem: STKI536779 <br /> Resolution: SRP-06/23/2015-14:14:11 <br /> (Please use the back of this sheet for additional comments <br /> contacts) <br />
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