My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2013-2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
B
>
BALSAM
>
4543
>
1600 - Food Program
>
PR0538015
>
COMPLIANCE INFO_2013-2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/14/2021 8:19:16 AM
Creation date
12/7/2018 9:22:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2019
RECORD_ID
PR0538015
PE
1608
FACILITY_ID
FA0021951
FACILITY_NAME
BUFFALO BAKING CO
STREET_NUMBER
4543
Direction
E
STREET_NAME
BALSAM
STREET_TYPE
DR
City
STOCKTON
Zip
95212
APN
08656030
CURRENT_STATUS
01
SITE_LOCATION
4543 E BALSAM DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Supplemental fields
FilePath
\MIGRATIONS\B\BALSAM\4535\PR0538015\COMPLIANCE.PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
64
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
FGL Environmental Doc ID:,,,.,40900002_SOP 10.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: %STK CC / CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: /<=`- --! <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? Yes , No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) (`YV No <br /> 5. VOAs checked for Headspace? Yes No �lVA <br /> 6. Were sample custody seals intact? Yes No (,N/ <br /> 7. If required,was sample split for pH analysis? Y No RA <br /> 8. Were all analyses within holding times at time of receipt? vi No <br /> 9. Verify sample date, time sampler Yes No <br /> Sign and date the COC,place in a ziplock and put in4M,1same ice chest as`the 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.'shushes/ <br /> 2. Shipping tracking numbers: P j/01617/1706e5-19A ,/- A/�/1 x7117j67/� <br /> 3. Do the number of bottles received agree with the COC? / e No l/N(//A/ 7 <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? es No N/A <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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No /A FGL <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> Attach labels to the containers and include a copy of the COC for 1 �l�iv Y <br /> Sample Receipt, Login and Verification completed by(initials):2 <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 Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: <br /> Initiated By: (3-17297) <br /> Problem: Patti Lynn Drake <br /> Resolution: 5 TK 14 3 8 9 6 9 <br /> (Please use the back of this sheet for additional commt <br /> IV-09/03/2014-14:01:39 <br /> contacts) <br />
The URL can be used to link to this page
Your browser does not support the video tag.