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SR0085677 (3)
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SR0085677 (3)
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Entry Properties
Last modified
11/2/2022 3:57:19 PM
Creation date
10/27/2022 2:24:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0085677
PE
2903
FACILITY_ID
FA0027314
FACILITY_NAME
206 N SUTTER STREET PHASE II ESA
STREET_NUMBER
206
Direction
S
STREET_NAME
SUTTER
City
STOCKTON
Zip
95206
APN
13925003
ENTERED_DATE
8/19/2022 12:00:00 AM
SITE_LOCATION
206 S SUTTER
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Sample Receipt Checklist <br />McCampbell Analytical, Inc.1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />http://www.mccampbell.com / E-mail: main@mccampbell.com"When Quality Counts" <br />Client Name:Condor Earth Technologies, Inc. <br />WorkOrder №:2209F28 <br />Date Logged:9/23/2022 <br />Logged by:Cassandra GallegosMatrix:Soil/Water <br />Carrier:Patrick Johnson (MAI Courier) <br />Shipping container/cooler in good condition?Yes No <br />Custody seals intact on shipping container/cooler?Yes No NA <br />Samples Received on Ice?Yes No <br />Chain of custody present?Yes No <br />Chain of custody signed when relinquished and received?Yes No <br />Chain of custody agrees with sample labels?Yes No <br />Samples in proper containers/bottles?Yes No <br />Sample containers intact?Yes No <br />Sufficient sample volume for indicated test?Yes No <br />NAAll samples received within holding time?Yes No <br />NASample/Temp Blank temperature <br />Yes No NAZHS conditional analyses: VOA meets zero headspace <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: <br /><2; 522: <4; 218.7: >8)? <br />Yes No NA <br />Temp:1.9°C <br />Chain of Custody (COC) Information <br />Yes NoSample IDs noted by Client on COC? <br />Yes NoDate and Time of collection noted by Client on COC? <br />Yes NoSampler's name noted on COC? <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />Sample labels checked for correct preservation?Yes No <br />Project:7454; Suter St <br />(Ice Type:WET ICE ) <br />Comments:ALL HCI VOAs HAD HEADSPACE <br />pH tested and acceptable upon receipt (200.7: ≤2; 533: 6 - 8; <br />537.1: 6 - 8)? <br />Yes No NA <br />UCMR Samples: <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L) <br />[not applicable to 200.7]? <br />Yes No NA <br />Date and Time Received:9/23/2022 11:30 <br />Received by:Cassandra Gallegos <br />COC agrees with Quote?Yes No NA <br />Custody seals intact on sample bottles?Yes No NA <br />Page 47 of 47
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