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SU0005992 SSNL
Environmental Health - Public
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SU0005992 SSNL
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Entry Properties
Last modified
12/13/2019 2:50:14 PM
Creation date
9/6/2019 10:23:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005992
PE
2622
FACILITY_NAME
PA-0600182
STREET_NUMBER
14101
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06325027
ENTERED_DATE
4/12/2006 12:00:00 AM
SITE_LOCATION
14101 N JACK TONE RD
RECEIVED_DATE
4/11/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\14101\PA-0600182\SU0005992\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: <br /> F3REC005.002 <br /> Revision Date: 01/20/04 Page: 1 of 1 <br /> r. <br /> Stockton - Condition Upon Receipt (Attach to COC) <br /> ., Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: &T <br /> 2. Were samples received in a chilled condition? Temps: / / / / <br /> Acceptable is above freezing to 6°C. Also acceptable is received on ice(ROI)for the same day of sampling or <br /> received at room temperature(RRT)if sampled within one hour of receipt. Client contact for temperature failures <br /> must be documented below. If many packages are received at one time check for tests/H.T.'s/rushesBacti's to <br /> ` prioritize further review. Please notify Microbiology personnel immediately of bacti samples received.. <br /> 3. Do the number of bottles received agree with the COC? Sasples. <br /> N/A <br /> I` 4. Were samples received intact? (i.e. no broken bottles,leaks etc.) <br /> 5. Were sample custody seals intact? s No <br /> .. Sign and date the COC,place in a ziplock and put in the same ice chest <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/rushesBacti's to <br /> prioritize farther review. Please notify Microbiology personnel immediately of bacti samples received <br /> 2. Do the number of bottles received agree with the COC? es No N/A <br /> 3. Were samples received intact? (i.e.no broken bottles,leaks etc.) No <br /> 4. 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? es No <br /> t_ <br /> 2. Did bottle labels correspond with the client's ID's? es o <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> 4. Were all analyses within holding times at time of receipt? �n No <br /> 5. Have rush or project due dates been checked and accepted? �9t Yes 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: (3-9574) <br /> ` <br /> Resolution: p Neil Anderson & Associates <br /> 6. �� � + �r��'I (�1G� k <br /> STK0632365 <br /> IV-03/21/2006-09:52:38 <br /> L <br />
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