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SR0085735_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0085735_SSNL
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Entry Properties
Last modified
9/14/2022 8:27:55 AM
Creation date
9/14/2022 8:15:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085735
PE
2602
STREET_NUMBER
3505
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05921046
ENTERED_DATE
9/1/2022 12:00:00 AM
SITE_LOCATION
3505 E EIGHT MILE 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 Doc ID: 3DO900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter -tory Condition Upon Receipt (Attach to COC) �W"wn <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice c packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps:�3 `3 / <br />Surface water SWTR batt samples: A sample that has a temperature upon receipt of >I0' 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?o N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.)gZNO <br />5. VOAs checked for Headspace? o N/A <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name 51No <br />Sign and date the COC, place in a ziplock and put in the s ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: -- � / r / � / / _ <br />Acceptable is above freezing to 6-; C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />5S-66;0 o 1 1q-7 &01W <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 />S. Were sample custody seals intact? es No A <br />Sign and date the GOC, obtain LIMS sample numbers, select methods/tests and print lab( s. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? YQs <br />No <br />2. Did bottle labels correspond with the client's ID's? Y@ <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No 10 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 <br />6. Were all analyses within holding times at time of receipt? cis <br />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):Cfy-4 <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must <br />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 comm( <br />contacts) <br />(30t6608) <br />fiat Oak Geo Nr+iioomempl <br />SM250271 <br />iv 07/2112022 HM111111111111 <br />
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