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SR0084374_SSNL
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2600 - Land Use Program
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SR0084374_SSNL
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Entry Properties
Last modified
10/29/2021 4:41:03 PM
Creation date
10/29/2021 4:23:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084374
PE
2602
STREET_NUMBER
31296
Direction
E
STREET_NAME
ROSSIER
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22920008
ENTERED_DATE
10/19/2021 12:00:00 AM
SITE_LOCATION
31296 E ROSSIER 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 <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002 _ SOP_ 12-1.DOC <br />Page! of! <br />In 7- . 1 i , ; ry Condition Upon Receipt (Attach to COC) 05--Z7-7 <br />Sample Receipt f II C CH VI <br />Number of ice c es s packages received: I Shipping tracking # <br />Were samples received in a chilled condition? Temps: g'‘. / / / / <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 /> <br /> <br /> <br /> <br /> <br /> <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put in <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Were samples received in a chilled condition? Temps: <br />Shipping tracking numbers: SSLIV/O6Cia <br />Do the number of bottles received agree with the COC? No N/A <br />Acceptable is above freezing to 60 C. If many packages are rece'ved at one time check for tests/H.T.'s/rushes/ <br />14(951 kii <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br />Were sample custody seals intact? es No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe . <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />'Exception: Oil & 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 COC faia <br />Sample Receipt, Login and Verification completed by (initials): fi <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br /> <br />Phone Number: <br /> <br />(3016608) <br />Live Oak Geo Environmental <br />ST1(2153271 <br />cra 0911612021 13 10:26 <br />11111111111111 <br /> <br />(Please use the back of this sheet for addition <br />contacts) <br />lere <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks e <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 />same ice chest as t e samples. <br />No <br />No <br />es No <br />No <br />No <br />No <br />N/A <br />FGL
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