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SU0005639 SSNL
Environmental Health - Public
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SU0005639 SSNL
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Entry Properties
Last modified
5/7/2020 11:31:40 AM
Creation date
9/8/2019 12:45:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005639
PE
2622
FACILITY_NAME
PA-0500297
STREET_NUMBER
7434
Direction
N
STREET_NAME
PODESTA
STREET_TYPE
LN
City
LINDEN
APN
09135004
ENTERED_DATE
9/21/2005 12:00:00 AM
SITE_LOCATION
7434 N PODESTA LN
RECEIVED_DATE
9/20/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PODESTA\7434\PA-0500297\SU0005639\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 /> Stockton - Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK: <br /> 1. Number of ice chests/packages received: <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? taples. <br /> /A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br /> 5. Were sample custody seals intact? o <br /> ... Sign and date the COC,place in a ziplock and put in the same ice che <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 further review. Please notify Microbiology personnel immediately of bacti samples received. <br /> 2. Do the number of bottles received agree with the COC? �- 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 /> Ow <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? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No <SO?- FGL <br /> 4. Were all analyses within holding times at time of receipt? No <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 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: D1—X1--"-- <br /> Initiated By: (3-13102) <br /> Problem: Precision Envlro-Tech <br /> Resolution: STK 0 6 3 0 7 6 9 <br /> IV-01/26/2006-08:59:40 <br />
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