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SR0085844_SSNL
EnvironmentalHealth
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ESCALON BELLOTA
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2600 - Land Use Program
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SR0085844_SSNL
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Entry Properties
Last modified
10/12/2022 3:49:00 PM
Creation date
10/12/2022 3:37:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085844
PE
2602
FACILITY_NAME
16402 S ESCALON BELLOTA RD
STREET_NUMBER
16402
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908028
ENTERED_DATE
9/29/2022 12:00:00 AM
SITE_LOCATION
16402 S ESCALON BELLOTA RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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I-134 Wllbw Vass Koaa, nnsburg, lA 94JW-1 /Ul <br />t\ McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/ Fax: (925) 252-9269 <br />"When QaaWl' COaarc" http://www.mccampbell.com / E-mail: mainLmccampbell.com <br />Sample Receipt Checklist <br />Client Name: AdvancedGeo, Inc. Date and Time Received: 9/15/2022 11:50 <br />Project: Azevedo Property Date Logged: 9/15/2022 <br />Received by: Lilly Ortiz <br />WorkOrder Na: 2209857 Matrix: Water <br />Logged by: <br />Lilly Ortiz <br />Carrier: Patrick Johnson (MAI Courier) <br />Chain of Custody <br />(COC) Information <br />Chain of custody present? <br />Yes <br />© <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />© <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />© <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 />© <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />© <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />NA ❑� <br />Samole <br />Custody seals intact on shipping container/cooler? <br />Receint <br />Yes <br />Information <br />❑ <br />No ❑ <br />NA ❑d <br />Custody seals intact on sample bottles? <br />Yes <br />❑ <br />No ❑ <br />NA W <br />Shipping container/cooler in good condition? <br />Yes <br />© <br />No ❑ <br />Samples in proper containers/bottles? <br />Yes <br />© <br />No ❑ <br />Sample containers intact? <br />Yes <br />J❑ <br />No ❑ <br />Sufficient sample volume for indicated test? <br />Yes <br />© <br />No ❑ <br />Samole Preservation <br />All samples received within holding time? <br />and <br />Yes <br />Hold Time <br />© <br />(HT) Information <br />No ❑ <br />NA ❑ <br />Samples Received on Ice? <br />Yes <br />0 <br />No ❑ <br />(Ice Type: <br />WET ICE ) <br />Sample/Temp Blank temperature <br />Temp: <br />1.7°C <br />NA ❑ <br />ZHS conditional analyses: VOA meets zero headspace <br />Yes <br />No ❑ <br />NA ❑ <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? <br />Yes <br />❑d <br />No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br />Yes <br />❑ <br />No ❑ <br />NA RJ <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.7: 52; 533: 6 - 8; <br />Yes <br />❑ <br />No ❑ <br />NA <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L) <br />Yes <br />❑ <br />No ❑ <br />NA <br />[not applicable to 200.7]? <br />--------------------------------------------- <br />Comments: <br />Page <br />
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