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SR0084990_SSNL
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2600 - Land Use Program
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SR0084990_SSNL
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Entry Properties
Last modified
3/23/2022 2:12:54 PM
Creation date
3/23/2022 2:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084990
PE
2602
STREET_NUMBER
12622
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06324007
ENTERED_DATE
3/11/2022 12:00:00 AM
SITE_LOCATION
12622 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGL Environ ental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -""tory Condition Upon Receipt (Attach to COC),VJ0,9�Z <br />Sample Rece pt at:STK CC CH VI <br />L Number of ice ch s packages received: _Shipping tracking # <br />2. Were s ples received in a chilled condition? Temps: <br />Surface w ter SWTR bact samples: A sample that has a temperature upon receipt of > 10° C, whether iced or not, <br />should be flagge unless the time since sample collection has been less than two hours. <br />3. <br />Do the n <br />ber of bottles received agree with the COC? <br />No <br />N/A <br />4. <br />Were s <br />ples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. <br />VOAs c <br />ecked for Headspace? <br />Y No <br />N/A <br />6. <br />Were s <br />ple custody seals intact? <br />Yes No <br />7. <br />If requir <br />d, was sample split for pH analysis? <br />Y No <br />tacted: Phone Number: <br />8. <br />Were all <br />nalyses within holding times at time of receipt? <br />No <br />9. Verify s ple date, time and sampler name Ye No <br />Sign and date e COC, place in a ziplock and put in th ice chest as the samples. <br />Sample Recei Review completed by (initials): <br />Sample Rf <br />1. Were <br />2. Shipping <br />SSS, <br />3. Do the m <br />4. Were san <br />5. Were san <br />Sign and date t <br />Sample Verif <br />1. Were all <br />2. Did bolt'. <br />3. Were all <br />t at SP: <br />.pies received in a chilled condition? Temps: I / / / 1 _ <br />is above freezing to 6- C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />tracking numbers: <br />-7901 `l 0 <br />mber of bottles received agree with the COC? No N/A <br />les received intact? (i.e. no broken bottles, leaks etc.) a No <br />le custody seals intact? Yes No <br />e COC, obtain LIMS sample numbers, select methods/tests and print labe . <br />4. VOAs chc <br />5. Have rush <br />6. Were all a <br />Attach labels to <br />Sample Receipt <br />Discrepancy I <br />Any items abo <br />1. Person C <br />Initiated <br />Problem: <br />2. Person C <br />Initiated <br />Problem: <br />Ittion, Labeling and Distribution: <br />;quested analyses understood and acceptable? <br />No <br />labels correspond with the client's ID's? a <br />No <br />Atles requiring sample preservation properly preserved? Yes <br />No 61/ FGL <br />(Exception: Oil & Grease, VOA and CM verified in labl <br />cked for Headspace? Yes <br />No <br />or project due dates been checked and accepted? Yes <br />No / <br />ialyses within holding times at time of receipt?No <br />the containers and include a copy of the COC for lab deliver. <br />Login and Verification completed by (initials): <br />cumentation: <br />which are "No" or do not meet specifications (i.e. temps) must <br />be resolved. <br />tacted: Phone Number: <br />Date: <br />tacted: Phone Number: <br />(Please use the bck of this sheet for additional col <br />contacts) <br />(3016608) <br />Live Oak Geo Environmental <br />STU231242 <br />iv 0(1�/24j/`2022II 14:36:13 <br />ISTV?21242 <br />sTY??312x2 _. <br />
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