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COMPLIANCE INFO_2021
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0538473
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
6/23/2021 4:18:26 PM
Creation date
3/30/2021 5:03:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0538473
PE
2220
FACILITY_ID
FA0014400
FACILITY_NAME
ECLIPSE METAL FABRICATION
STREET_NUMBER
17700
STREET_NAME
SHIDELER
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19823015
CURRENT_STATUS
01
SITE_LOCATION
17700 SHIDELER PKWY STE C
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12.DOC <br />Page 1 of 1 <br />Inter-Laharatory Condition Upon Receipt (Attach to COC)'200,92 qj� <br />Sample Receipt at: K CC CH VI <br />1. Number of ice ch packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: )Ml-/ <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. <br />Do the number of bottles received agree with the COC? <br />sD <br />No <br />N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />a <br />No <br />5. <br />VOAs checked for Headspace? <br />Yes <br />No <br />6. Were all analyses within holding times at time of receipt? <br />6. <br />Were sample custody seals intact? <br />Yes <br />No <br />7. <br />If required, was sample split for pH analysis? <br />Yes <br />No <br />8. <br />Were all analyses within holding times at time of receipt? <br />No <br />9. <br />Verify sample date, time and sampler name <br />es <br />No <br />Sign and date the COC, place in a ziplock and put' e same ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. <br />Were samples received in a chilled condition? em s: <br />p p <br />— <br />Acceptable is above freezing to 6`w C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. <br />Shipping tracking numbers: <br />3. <br />Do the number of bottles received agree with the COC?No <br />N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />a <br />No <br />5. <br />Were sample custody seals intact? <br />Yes <br />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? <br />a No <br />2. Did bottle labels correspond with the client's ID's? <br />es No <br />3. Were all bottles requiring sample preservation properly preserved? <br />Yes No FGL <br />[Exception: Oil & Grease, VOA and CM verified in lab) <br />4. VOAs checked for Headspace? <br />Yes No <br />5. Have rush or project due dates been checked and accepted? <br />Yes No <br />6. Were all analyses within holding times at time of receipt? <br />�5 No <br />Attach labels to the containers and include a copy of the COC for labtlivery. <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. <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additii <br />contacts) <br />IT <br />(3018587) <br />Ed se Mefal Fab <br />SrO5Y�JV 'here <br />ctc 10/28/2020 15:59:24 <br />
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