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SR0085665_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0085665_SSNL
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Entry Properties
Last modified
9/8/2022 10:36:25 AM
Creation date
9/8/2022 10:12:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085665
PE
2602
FACILITY_NAME
14250 S JACK TONE RD
STREET_NUMBER
14250
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
STOCKTON
Zip
95336
APN
20305029
ENTERED_DATE
8/18/2022 12:00:00 AM
SITE_LOCATION
14250 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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1534 Willow Pass Road, Pittsburg, CA 94565-1 70 1 <br />McCampbell Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />"When Quality Counts" I http://www.mecampbell.coni / E-mail: mainLmccampbell.com <br />Chain <br />Chain of custody present? <br />of Custody <br />Yes <br />Sample Receipt Checklist <br />No ❑ <br />Client Name: <br />AdvancedGeo, Inc. <br />Date and Time Received: <br />8/2/2022 16:45 <br />Project: <br />Postman Property <br />Date Logged: <br />8/2/2022 <br />Sample IDs noted by Client on COC? <br />Yes <br />Received by: <br />Valerie Alfaro <br />WorkOrder No: <br />2208131 Matrix: <br />Water Logged by: <br />Valerie Alfaro <br />Carrier: <br />Benjamin Yslas (MAI Courier) <br />W <br />No ❑ <br />Chain <br />Chain of custody present? <br />of Custody <br />Yes <br />(COC) Information <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />Yes <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />� <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />W <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />W <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <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 />Yes <br />❑ <br />No ❑ <br />Yes <br />❑ <br />No ❑ <br />Yes <br />No ❑ <br />Yes <br />❑ <br />No ❑ <br />Yes <br />No ❑ <br />Yes <br />No ❑ <br />Samole Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes No ❑ <br />Samples Received on Ice? Yes No <br />(Ice Type: OTHERS ) <br />Sample/Temp Blank temperature Temp: 2.3°C <br />ZHS conditional anal ses• VOA meets zero heads ace Yes J❑ No ❑ <br />NA ❑./ <br />NA <br />NA ❑D <br />NA ❑ <br />NA ❑ <br />NA ❑ <br />y P <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? Yes [] No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA ❑d <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.7: s2; 533: 6 - 8; Yes ❑ No ❑ NA <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<O.1 mg/L) Yes ❑ No ❑ NA ❑d <br />[not applicable to 200.7]? <br />Comments: <br />Page 10 of 10 <br />
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