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SU0011561 SSNL
Environmental Health - Public
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SU0011561 SSNL
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Entry Properties
Last modified
5/7/2020 11:35:15 AM
Creation date
9/4/2019 10:17:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011561
PE
2622
FACILITY_NAME
PA-1700248
STREET_NUMBER
6998
Direction
S
STREET_NAME
BARTOLOMEI
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18707015
ENTERED_DATE
10/27/2017 12:00:00 AM
SITE_LOCATION
6998 S BARTOLOMEI RD
RECEIVED_DATE
10/27/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BARTOLOMEI\6998\PA-1700248\SU0011561\SS STUDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of l <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chess packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:OZ7-/,x 9 / <br /> Surface water S WTR bact samples:A sample that has a temperature upon receipt of >I00 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 <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name ('Ye--s-3 No <br /> Sign and date the COC, place in a ziplock and put in th ame ice chest as 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 /> 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.) 0 No � <br /> 5. Were sample custody seals intact? Yes Nom+ <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? A esZ 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 <�n FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? 0_4:1 <br /> No <br /> 5. Have rush or project due dates been checked and accepted? C`e No N/A <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-16608) <br /> 2. Person Contacted: <br /> Initiated By: Live Oak Geo Environmental <br /> Problem: STK1837115 <br /> Resolution: <br /> (Please use the back of this sheet for additional comme CIC-05/23/2018-16:50:58 <br /> contacts) -- <br />
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