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SR0084140_SSCRPT
EnvironmentalHealth
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MITCHELL
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2600 - Land Use Program
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SR0084140_SSCRPT
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Entry Properties
Last modified
12/6/2021 2:34:23 PM
Creation date
12/6/2021 1:56:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0084140
PE
2603
STREET_NUMBER
15655
Direction
S
STREET_NAME
MITCHELL
STREET_TYPE
RD
City
MANTECA
Zip
98336
APN
21806001
ENTERED_DATE
8/25/2021 12:00:00 AM
SITE_LOCATION
15655 S MITCHELL RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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Tags
EHD - Public
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1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />M c C a m p b e I l Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />i "When Quality Counts" http://www.mccampbell.com / E-mail: main@mccampbell.com <br />mccampbell.com <br />Client Name: CLS Labs <br />Project: 19A1327 <br />WorkOrder No: 1901 D24 <br />Carrier: Client Droo-In <br />Sample Receipt Checklist <br />Date and Time Received 1/29/2019 11:15 <br />Date Logged: 1/29/2019 <br />Received by: Julia Danielsson <br />Matrix: Soil Logged by: Agustina Venegas <br />Chain <br />of Custody <br />(COC) <br />Information <br />Chain of custody present? <br />Yes <br />W <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />0 <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />No ❑ <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />0 <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />0 <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />❑ <br />No <br />COC agrees with Quote? <br />Yes <br />No ❑ <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Sample Receipt <br />Information <br />Hold Time <br />0 <br />Yes <br />❑ <br />No ❑ <br />Yes <br />W <br />No ❑ <br />Yes <br />V <br />No ❑ <br />Yes <br />0 <br />No ❑ <br />Yes <br />0 <br />No ❑ <br />Sample Preservation <br />All samples received within holding time? <br />and <br />Yes <br />Hold Time <br />0 <br />(HT) Information <br />No ❑ <br />Samples Received on Ice? <br />Yes <br />No ❑ <br />(Ice Type: <br />WET <br />ICE ) <br />Sample/Temp Blank temperature <br />Temp: <br />1.3°C <br />Water - VOA vials have zero headspace / no bubbles? <br />Yes <br />❑ <br />No ❑ <br />Sample labels checked for correct preservation? <br />Yes <br />d❑ <br />No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br />Yes <br />❑ <br />No ❑ <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8::52; 525. ::54; <br />530::57; 541: < ; 544: < .5 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<O.1 mg/L)? <br />NA ❑ <br />NA W <br />NA ❑ <br />NA ❑ <br />NA ❑� <br />NA W <br />Yes ❑ No ❑ NA W <br />Yes ❑ No ❑ NA d❑ <br />--------------------------------------------- <br />------------------------------------------- <br />Comments: <br />Page 10 of 10 <br />
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