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SR0084804_SSNL
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SR0084804_SSNL
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Entry Properties
Last modified
3/10/2022 12:20:36 PM
Creation date
3/10/2022 11:53:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084804
PE
2602
FACILITY_NAME
15766 N DEVRIES RD
STREET_NUMBER
15766
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02517003
ENTERED_DATE
1/31/2022 12:00:00 AM
SITE_LOCATION
15766 N DEVRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-4.DOC <br />Page 1 of 1 <br />Inter-LabQratory Condition Upon Receipt (Attach to COC) a1.3�5�3 <br />Sample Receipt :STK CC CH VI <br />1. Number of ice ch packages received: / Shipping tracking 4 <br />2. Were samples received in a chilled condition? Temps: 4--1 / <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? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. VOAs checked for Headspace? No N/A <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Yes No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler nameYes No <br />Sign and date the COC, place in a ziplock and put in t e e ice chest as a samples. <br />Sample Receipt Review completed by (initials):_, <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />P <br />Acceptable is above freezing to 6U C. if m y packages are received at one time check for tests/H.T.'s/rushes/ <br />2. S 'p ' tracking numbers: <br />1� <br />3. Do the number of bottles received agree with the COC? qes <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 Nof 7 <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? No <br />2. Did bottle labels correspond with the client's ID's? Y No //--��--�� <br />3. Were all bottles requiring sample preservation properly preserved? Yes No k-ABD FGL <br />lException: Oil & Crease, VOA and CM verified in labl �� <br />4. VOAs checked for Headspace? e No N/A <br />5. Have rush or project due dates been checked and accepted? Yes No )CA) <br />6. Were all analyses within holding times at time of receipt? W No <br />Attach labels to the containers and include a copy of the COC for lab delivery. <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: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additior <br />contacts) <br />(3016608) <br />Live Oak Goo Env ironmo W <br />STIQ136533 <br />apb 051111202116:15:07 sere <br />dl �a�all{��IB�Ilal�lll I� <br />
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