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SU0010394 SSNL
Environmental Health - Public
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SU0010394 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:33 AM
Creation date
9/4/2019 5:31:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010394
PE
2622
FACILITY_NAME
PA-1500020
STREET_NUMBER
24011
Direction
E
STREET_NAME
DODDS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20715006
ENTERED_DATE
2/18/2015 12:00:00 AM
SITE_LOCATION
24011 E DODDS RD
RECEIVED_DATE
2/13/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DODDS\24011\PA-1500020\SU0010394\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_IO.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter-Lory Condition Upon Receipt(Attach to COC) <br /> Sample Receipt at: TK CC CH V1 <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? No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 5. VOAs checked for Headspace? It No NLA <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 sampler No <br /> Sign and date the COC,place in a ziplock and . the same ice chest as the samples. <br /> Sample Receipt Review completed by(initials). <br /> Sample Receipt at SP: 0 <br /> L0 0 <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6°C� many packages are received at one time check for tests/H.T.'s/n she,/ <br /> 2. Shipping tracking numbers: (� CO�6 -7 <br /> t �q <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.) es No <br /> 5. Were sample custody seals intact? Yes NoA <br /> Sign and date the COC,obtain LIMS sample numbers,select methods/tests and print label <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? tYesNo <br /> o <br /> 2. Did bottle labels correspond with the client's ID's? O <br /> 3. Were all bottles requiring sample preservation properly preserved? o <br /> 4. VOAs checked for Headspace? <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 feliv ry, <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 /> 2. Person Contacted: Phone Number. <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-16608) <br /> (Please use the back of this sheet for additional comments or Live Oak Geo &vironmental <br /> contacts) <br /> STK1436914 <br /> xlP-07/11/2014-10:10:02 <br />
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