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ARCHIVED REPORTS_2014 1ST QUARTER MONITORING
EnvironmentalHealth
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VIA NICOLO
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17950
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4200 – Liquid Waste Program
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PR0521836
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ARCHIVED REPORTS_2014 1ST QUARTER MONITORING
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Last modified
12/4/2020 9:15:18 AM
Creation date
8/5/2020 10:12:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2014 1ST QUARTER MONITORING
RECORD_ID
PR0521836
PE
4232
FACILITY_ID
FA0002971
FACILITY_NAME
MUSCO FAMILY OLIVE CO
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
01
SITE_LOCATION
17950 W VIA NICOLO
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\V\VIA NICOLO\17950\PR0521836\ARCHIVED REPORTS\2014 1ST QUARTER MONITORING.PDF
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EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_IO.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice chests/packages 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 X10°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.) No <br /> 5. VOAs checked for Headspace? t No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time sampler Ye No <br /> Sign and date the COC,place in a ziplock and pu ' sam ce 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/rushes/ <br /> 2. Shipping tracking numbers:D 100 10 L�U)-7(4 U5DCO( <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.) No <br /> 5. Were sample custody seals intact? e 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt,Login and Verification completed by(initials) �Q� <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: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (3-11544) <br /> (Please use the back of this sheet for additional comment Musco Fail ly Olive Environmental <br /> contacts) STK 14 3 2 4 7 2 <br /> lV—a3/21/1�14-12:54:37 <br />
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