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SR0085171_SSNL
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SR0085171_SSNL
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Entry Properties
Last modified
4/27/2022 9:20:34 AM
Creation date
4/27/2022 9:04:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085171
PE
2602
STREET_NUMBER
2227
Direction
W
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95242
APN
02516046
ENTERED_DATE
4/18/2022 12:00:00 AM
SITE_LOCATION
2227 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 Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at:STK CC CH VI <br />1. Number of ice chests packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /0.11 <br />/ <br />Surface water SWTR batt 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? d22> No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No /A <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name resamples. <br />No <br />Sign and date the COC, place in a ziplock and put in the ame ice chest a <br />Sample Receipt Review completed by (initials). <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: �-/ •'Iq <br />�Ts/mshes/ <br />Acceptable is above freezing to 6- C. If many packages are received at one time check for test <br />2. Shipping tracking numbers: <br />3. Do the number of bottles received agree with the COC?es No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br />5. Were sample custody seals intact? Yes No N/ <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe s. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? a No <br />2. Did bottle labels correspond with the client's ID's? e No <br />3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br />IException: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? No N/A <br />6. Were all analyses within holding times at time of receipt? a 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): Q�J <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: Live <br />Initiated By: Liao Oak Goo Environmental <br />Problem: QTM 131348 <br />Resolution: <br />(Please use the back of this sheet for additional <br />Iv 011291202115:18:66 re <br />contacts) ' <br />
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