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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 Environm�Vji9/14 <br />al Doc ID: 3DO900002_SOP_12-1.DOC <br />Revision Date: 1 Page 1 of 1 <br />Inter -L ory Condition Upon Receipt (Attach to COC) <br />Sample Receiless <br />at: TK CC CH VI <br />1. Number ce packages received: Shipping tracking # <br />2. Were sams received in a chilled condition? Temps: Q ' <br />Surface waSWTR bact samples: A sample that has a temperature upon receipt of >10* C, whether iced or not, <br />should be flagged the time since sample collection has been less than two hours. <br />3. Dothen er of bottles received agree with the COC? �" -� No N/A <br />4. Were sam es of <br />intact? (i.e. no broken bottles, leaks etc.) �—" No <br />5. VOAs ch ed for Headspace? es N <br />6. Were sam a custody seals intact? Yes N� <br />7. If requir ,was sample split for pH analysis? Y No-�� <br />8. Were all lyses within holding times at time of receipt? es No <br />9. Verify s le date, time and sampler name es No <br />Sign and date e COC, place in a ziplock and put in the same ice ches a samples. <br />Sample Receipt Review completed by (initials): (, <br />Sample Receip at SP: <br />1. Were sam es received in a chilled condition? Temps: e. <br />Acceptable above freezing to 6- C. If many packages are received at one time check for tests/ i.T.'s/rushes/ <br />2. Shipping cking numbers: <br />3. Do then ber of bottles received agree � <br />gree with the COC. ® No N/A <br />4. Were s es received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were s le custody seals intact? Yes No QT2�> <br />Sign and date � COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verifi44tion, Labeling and Distribution: <br />1. Were all <br />uested analyses understood and acceptable? <br />No <br />2. Did bottl <br />abels correspond with the client's ID's? � <br />No <br />3. Were all <br />ttles requiring sample preservation properly preserved?<2!!!!�) <br />No N/A FGL <br />4. VOAs ch <br />IException: OH & Grease, VOA and CM verified in labl <br />ked for Headspace? Yes <br />No <br />5. Have rus <br />r project due dates been checked and accepted? Yes <br />No <br />6. Were all <br />alyses within holding times at time of receipt? <br />No <br />Attach labels t <br />e containers and include a copy of the COC for ab delivery. <br />Sample Receip <br />Login and Verification completed by (initials): <br />Discrepancy <br />cumentation: <br />Any items abo <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person C <br />tacted: Phone Number: <br />Initiated <br />y• Date: <br />Problem: <br />2. Person ( <br />Initiated <br />Resoluti <br />(Please use th ack of this sheet for additional comments or <br />contacts) <br />(-4-1'3822) <br />C,r-,�rrrr 1J1^.141 <br />u7li�lyy aa�c>,twi <br />S\m�r� �3r 460 <br />U 1 1 / Jlt! V V <br />IV -01/12/2017-15:2`,:34 <br />
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