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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0522097
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/26/2021 4:15:35 PM
Creation date
5/26/2021 4:04:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0522097
PE
2960
FACILITY_ID
FA0015058
FACILITY_NAME
SCHMIEDT SOIL SERVICE
STREET_NUMBER
2096
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
22404021
CURRENT_STATUS
01
SITE_LOCATION
2096 S MAIN ST
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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N/A <br />FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-L ;ory Condition Upon Receipt (Attach to COC) /7,5927 7 <br />Sample Receipt at: i° CC CH VI <br /> Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 419Z <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />No N/A <br />No <br />No <br />No( <br />No <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 tlme ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to Oh C. If many packages are received at one <br />Shipping tracking numbers: 0-17"-/6//-2 2-/ <br />Do the number of bottles received agree with the COC? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc. No <br />Were sample custody seals intact? es No QSZ: <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? No <br />Did bottle labels correspond with the client's ID's? No <br />Were all bottles requiring sample preservation properly preserved? Yes No <br />[Exception: 011 & Grease, VOA and CrVI verified in lab' <br />VOAs checked for Headspace? <br />Have rush or project due dates been checked and accepted? <br />Were all analyses within holding times at time of receipt? <br />Attach labels to the containers and include a copy of the CO <br />Sample Receipt, Login and Verification completed by (initi <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 /> <br />Phone Number- <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comment <br />contacts) <br /> <br />1. Number of ice chests/packages received: <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br />Were sample custody seals intact? <br />If required, was sample split for pH analysis? <br />Were all analyses within holding times at time of receipt? <br />Yes <br />Yes <br /> <br />7 check for test,T.'s/rushes/ <br />(- Ys No <br />Yes No <br />No <br />d 'very. <br />FGL <br />N/A
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