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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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PR0522747
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/22/2019 1:44:42 PM
Creation date
11/1/2018 11:33:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0522747
PE
2220
FACILITY_ID
FA0011159
FACILITY_NAME
VACANT
STREET_NUMBER
6801
STREET_NAME
LONGE
STREET_TYPE
St
City
Stockton
Zip
95206
APN
17726023
CURRENT_STATUS
02
SITE_LOCATION
6801 Longe St
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LONGE\6801\PR0522747\COMPLIANCE INFO 2004 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2004 - 2015
QuestysRecordDate
7/5/2018 8:33:28 PM
QuestysRecordID
3934994
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc 1D: 3000002_SOP_12.DOC <br />Page 1 of 1 <br />Inter -L ory Condition Upon Receipt (Attach to COC) /93 oi90 <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice ches s packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: a7-1 <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10° 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? ' No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Yes No /A <br />8. Were all analyses within holding times at time of receipt? Y o <br />9. Verify sample date, time and sampler name Yes o <br />Sign and date the COC, place in a ziplock and p m t same ice chest as a samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <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 />53 `Bq�S�G <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were sample custody seals intact? Yes No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? Yes <br />ro em. GA <br />2. Did bottle labels correspond with the client's ID's? (JLi* <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No >�1 FGL <br />[Exception: Oil & Grease, VOA and CrVI verified In labl <br />4. VOAs checked for Headspace? Yes <br />No Q A <br />5. Have rush or project due dates been checked and accepted? Yes <br />No !A <br />6. Were all analyses within holding times at time of receipt? a <br />No <br />Attach labels to the containers and include a copy of the COC fo a deliv <br />Sample Receipt, Login and Verification completed by (initials) <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person Contacted: Phone Num er: <br />nA <br />Initiated By: Date: / (3 11 B <br />rn <br />P bl Uzd v� Q�re S�,Vv CAYI�(nI`(��( <br />Y�G� <br />Resolution:,( <br />2. Person *ot\act`ed:-&'�� Phone Number: <br />Initiated By: (3-18091) <br />Problem: titer i s Corporation <br />Resolution: <br />STK183®19® <br />(Please use the back of this sheet for additional comments <br />IV -01/03/2018-16:23:04 <br />contacts) <br />
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