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SU0011811 SSNL
Environmental Health - Public
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SU0011811 SSNL
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Entry Properties
Last modified
5/7/2020 11:35:28 AM
Creation date
9/4/2019 5:39:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011811
PE
2622
FACILITY_NAME
PA-1800128
STREET_NUMBER
207
Direction
E
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25527007
ENTERED_DATE
6/5/2018 12:00:00 AM
SITE_LOCATION
207 E DURHAM FERRY RD
RECEIVED_DATE
6/4/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DURHAM FERRY\207\PA-1800128\SU0011811\SS STUDY.PDF
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of I <br /> Inter-L tory Condition Upon Receipt (Attach to COC) <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? Yes No NUA <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? VNO <br /> o <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date,time and sampler name <br /> Sign and date the COC,place in a ziplock and put inthe a 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: / �J / Cp <br /> Acceptable is above freezing to 06 C. 1f many packages are received a one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: c75-+ 1 + C,-124 <br /> -1 gtol ( (Q130 <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. Were sample custody seals intact? Yes No <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? YFs No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No <j A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No d77AI <br /> 5. Have rush or project due dates been checked and accepted? Yes No xtk <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for lab delive . <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 Nutnher: <br /> (3-16608 — <br /> I ob!em:ed By: <br /> Problem: Live Oak Geo avirommentai <br /> Resolution: S TK 18 512 0 7 <br /> (Please use the back of this sheet for additional comment IV-08/07/2018-07:30:12 <br /> contacts) <br />
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