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SR0084392_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0084392_SSNL
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Entry Properties
Last modified
11/12/2021 10:12:01 AM
Creation date
11/10/2021 4:55:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084392
PE
2602
STREET_NUMBER
3434
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02514009
ENTERED_DATE
10/25/2021 12:00:00 AM
SITE_LOCATION
3434 W SARGENT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGL Environm <br />Revision Date: 1 <br />Sample Recei <br />1. Number <br />2. Were sam <br />Surface wa <br />should be flagged <br />3. <br />Do the nut <br />4. <br />Were sam <br />5. <br />VOAs the <br />6. <br />Were sam <br />7. <br />If requirec <br />8. <br />Were all a <br />9. <br />Verify sari <br />Sign and date tr <br />Sample Receipt <br />Doc ID: 3DO900002_SOP_12-1.DOC <br />4 Page 1 of 1 <br />to o ory Condition Upon Receipt (Attach to COC) W, -5t: TK C CH VI <br />cages received: _Shipping tracking # <br />-s received in a chilled condition? Temps: 16, / <br />SWTR bact samples: A sample that has a temperature upon receipt of > 10° C, whether iced or not, <br />less the time since sample collection has been less than two hours. <br />ber of bottles received agree with the COC? No N/A <br />.es received intact? (i.e. no broken bottles, leaks et o <br />ked for Headspace? o <br />.e custody seals intact? Yes No ki979D <br />was sample split for pH analysis? N <br />clyses within holding times at time of receipt? es o <br />)le date, time and sampler name o <br />COC, place in a ziplock and put in e s e Ice c e samples. <br />review completed by (initials): <br />Sample Receipt at SP: W V <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: Vh4OTtV-31 i 7� <br />3. Do the n ber of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a 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 Verific tion, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?No <br />SS <br />2. Did bottle abets correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No FGL <br />1Exception: Oil & Crease, VOA and CM verified in lab) <br />4. VOAs the ked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />No <br />6. Were all analyses within holding times at time of receipt? ;ff5 <br />No <br />Attach labels to Lhe containers and include a copy of the COC for lab delivery. <br />Sample Receipt,1 Login and Verification completed by (initials):�C.i <br />Discrepancy I <br />Any items abo <br />1. Person C <br />Initiated <br />Problem: <br />Resolutiic <br />:umentation: <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />:acted: Phone Number: <br />Date: <br />2. Person Coi% <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use thehack of this sheet for additional <br />contacts) <br />(16608) <br />L�ue Uak Geo Environmental <br />STI(2153603 <br />
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