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SR0083469_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083469_SSNL
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Entry Properties
Last modified
4/19/2021 1:32:35 PM
Creation date
4/19/2021 1:19:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083469
PE
2602
FACILITY_NAME
TERMINOUS RV & BOAT STORAGE
STREET_NUMBER
15010
Direction
N
STREET_NAME
GLASSCOCK
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02503004
ENTERED_DATE
3/29/2021 12:00:00 AM
SITE_LOCATION
15010 N GLASSCOCK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Intor-L atory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of i ckages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: Al/ / / / <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? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks et . No <br /> 5. VOAs checked for Headspace? e o N/A <br /> 6. Were sample custody seals intact? es <br /> 7. If required, was sample split for pH analysis? Yes <br /> 8. Were all analyses within holding times at time of receipt? Fes <br /> No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in t e is ples. <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 60 C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: -� 5J5'Gl j U,4 5-.5- <br /> 3. <br /> S3. Do the number of bottles received agree with the COC? fe <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes 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? es 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 /> IException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? es` No N/A <br /> 6. Were all analyses within holding times at time of receipt? 'Yg No <br /> Attach labels to the containers and include a copy of the COC for lab &livery. <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 /> Initiated By: (3016608) <br /> Problem: <br /> Resolution: `,ive Oak Geo Environmental <br /> (Please use the back of this sheet for additional c, ST9132648 <br /> contacts) <br /> tv 0212412021 07:15:44 <br />
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