My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CO0ESU50E
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
T
>
THORNTON
>
15453
>
2500 – Emergency Response Program
>
CO0ESU50E
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/1/2019 11:44:30 AM
Creation date
9/18/2018 8:32:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0ESU50E
PE
2546
FACILITY_NAME
Profleet Truck Lube
STREET_NUMBER
15453
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
ENTERED_DATE
6/13/2018 12:00:00 AM
RECEIVED_DATE
6/13/2018 12:00:00 AM
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
164
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />M c C a m p b e l l Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />` "When Quality COunts" http://www.mccampbell.com / E-mail: main a nccampbell.com <br />Sample Receipt Checklist <br />Yes ❑ <br />Client Name: Fremouw Environmental Services, Inc. <br />Yes d❑ <br />No ❑ <br />Date and Time Received <br />8/6/2018 14:15 <br />Project: TBD; Profleet Inc <br />No ❑ <br />Yes d❑ <br />Date Logged: <br />8/6/2018 <br />Sample/Temp Blank temperature <br />Temp: <br />Received by: <br />Agustina Venegas <br />WorkOrder Ne: 1808241 Matrix: Soil <br />❑ <br />No ❑ <br />Logged by: <br />Agustina Venegas <br />Carrier: Patrick Johnson (MAI Courier) <br />No ❑ <br />pH acceptable upon receipt (Metal: <2. 522: <4. 218.7: >8)? <br />Yes <br />❑ <br />Chain of Custody <br />(COC) Information <br />Chain of custody present? <br />Yes <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />❑J <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />0 <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yesd❑ <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />❑d <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />NA ❑� <br />Custody seals intact on shipping container/cooler? <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 />Samole Receipt Information <br />Yes ❑ <br />No ❑ <br />Yes d❑ <br />No ❑ <br />Yes d❑ <br />No ❑ <br />Yes d❑ <br />No ❑ <br />Yes d❑ <br />No ❑ <br />Sample Preservation <br />All samples received within holding time? <br />and <br />Yes <br />Hold Time <br />(HT) Information <br />No ❑ <br />Samples Received on Ice? <br />Yesd❑ <br />No ❑ <br />(Ice Type: <br />WET <br />ICE ) <br />Sample/Temp Blank temperature <br />Temp: <br />4.6°C <br />Water - VOA vials have zero headspace / no bubbles? <br />Yes <br />❑ <br />No ❑ <br />Sample labels checked for correct preservation? <br />Yes <br />0 <br />No ❑ <br />pH acceptable upon receipt (Metal: <2. 522: <4. 218.7: >8)? <br />Yes <br />❑ <br />No ❑ <br />NA ❑D <br />NA ❑ <br />NA ❑ <br />NA <br />NAW <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.13:52; 525.3: :54; Yes ❑ No ❑ NAW <br />530::57; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<O.1 mg/L)? Yes ❑ No ❑ NA Wd <br />Comments: <br />Page 14 of 14 <br />
The URL can be used to link to this page
Your browser does not support the video tag.