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SR0085648_SSNL
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2600 - Land Use Program
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SR0085648_SSNL
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Entry Properties
Last modified
9/8/2022 10:35:28 AM
Creation date
9/8/2022 9:53:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085648
PE
2602
FACILITY_NAME
23380 S AUSTIN RD
STREET_NUMBER
23380
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22813003
ENTERED_DATE
8/15/2022 12:00:00 AM
SITE_LOCATION
23380 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
005
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: 3DO900002_SOP_12.DOC <br />Page 1 of 1 <br />Inter -La tory Condition Upon Receipt (Attach to COQ,?, ,39,5, 49 <br />Sample Receipt at: S K CC CH VI <br />I . Number of ice the s packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /J•`3 / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >l0° C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />3. <br />Do the number of bottles received agree with the COC? <br />No N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. <br />VOAs checked for Headspace? <br />No N/A <br />6. <br />Were sample custody seals intact? <br />Yes No CMP <br />7. <br />If required, was sample split for pH analysis? <br />Yes No <br />8. <br />Were all analyses within holding times at time of receipt? <br />No <br />9. <br />Verify sample date, time and sampler name <br />Ye No <br />Sign and date the COC, place in a ziplock and p in t same ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. <br />Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6 C. If many packages are received at one tie check for tests/H.T.'s/rushes/ <br />2. <br />Shipping tracking numbers: "3S1 <br />� 11 LA 2 �.' r,16 6 <br />3. <br />Do the number of bottles received agree with the COC?No <br />N/A <br />t�s <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. <br />Were sample custody seals intact? <br />Yes No (" N/A <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved?es <br />No N/A FGL <br />(Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />No&A) <br />6. Were all analyses within holding times at time of receipt?Yes <br />No <br />Attach labels to the containers and include a copy of the COC for b delive <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 additional c� <br />contacts) <br />(an1660m <br />uluEOak Geo Ewua <br />STK2239549 <br />
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