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SU0010313 SSNL
Environmental Health - Public
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SU0010313 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:30 AM
Creation date
9/4/2019 5:34:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010313
PE
2622
FACILITY_NAME
PA-1400209
STREET_NUMBER
34443
Direction
N
STREET_NAME
DRY CREEK
STREET_TYPE
RD
City
GALT
APN
00902003 00906003 00907001
ENTERED_DATE
12/1/2014 12:00:00 AM
SITE_LOCATION
34443 N DRY CREEK RD
RECEIVED_DATE
12/1/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DRY CREEK\34443\PA-1400209\SU0010313\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_10.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter-L 4KAtory Condition Upon Receipt (Attach to COC) 1'711350 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ch ackages 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 >101 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? fs <br /> No N/A <br /> 6. Were sample custody seals intact? 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 CY-etsNo <br /> Sign and date the COC,place in a ziplock and put ame ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> a chilled condition? Tem / / <br /> Temps:. <br /> 1. Were samples received in P <br /> Acceptable is above freezing to 6° C. If many packages le <br /> received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shi ng 1i / <br /> ` I vl <br /> 1 <br /> 3. Do e number of bottles received agree with 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 lab <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 FGL <br /> 4. VOAs checked for Headspace? es No N/A_ <br /> 5. Have rush or project due dates been checked and accepted? Yes No CE/A-) <br /> Attach labels to the containers and include a copy of the COC for lab d <br /> Sample Receipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: <br /> Any items above which are"No"or do not meet specifications Pho temps) must be resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3-16608) <br /> Initiated By: <br /> Problem: Live Oak Geo Envi.rormenwal <br /> Resolution: STK 14 3 9 3 5 0 <br /> (Please use the back of this sheet for additional comment SRP-09/11/2014-12:22:08 <br /> contacts) <br />
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