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SU0009972 SSNL
Environmental Health - Public
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SU0009972 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:19 AM
Creation date
9/5/2019 11:19:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009972
PE
2631
FACILITY_NAME
PA-1400042
STREET_NUMBER
9851
Direction
E
STREET_NAME
HUTCHINSON
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
25724048
ENTERED_DATE
3/4/2014 12:00:00 AM
SITE_LOCATION
9851 E HUTCHINSON RD
RECEIVED_DATE
3/3/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HUTCHINSON\9851\PA-1400042\SU0009972\NL STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_IO.DOC <br /> Revision Date: 11/18/13 Page 1 of 1 <br /> Inter-Ltory Condition Upon Receipt (Attach to COC) I-'1--33A67Sample Receipt at: STK CC CH VI <br /> 1. Number of ice cher packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR batt 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 NIA <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 5. VOAs checked for Headspace? es NoA <br /> 6. Were sample custody seals intact? Yes No / <br /> 7. If required,was sample split for pH analysis? Y No / <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time sampler a No <br /> Sign and date the COC,place in a ziplock and put i g ame i e 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.'s/rushes/ <br /> 2. Shipping tracking numbers: C'C -?Cf��3� <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? 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> 4. VOAs checked for Headspace7 No N/A <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 lab d�eliy�ry. <br /> Sample Receipt,Login and Verification completed by(initials):"Zypy <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: (3-15419) <br /> Problem: <br /> Resolution: Chesney Consulting <br /> (Please use the back of this sheet for additional comment STK 14 3 3 2 5 9 <br /> contacts) IV-04/17/2014-12:42:08 <br />
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