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SU0010715 SSNL
Environmental Health - Public
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SU0010715 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:42 AM
Creation date
9/9/2019 9:02:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0010715
PE
2622
FACILITY_NAME
PA-1500250
STREET_NUMBER
303
Direction
S
STREET_NAME
REID
STREET_TYPE
AVE
City
LINDEN
Zip
95236-
APN
18336008
ENTERED_DATE
12/16/2015 12:00:00 AM
SITE_LOCATION
303 S REID AVE
RECEIVED_DATE
12/14/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\REID\303\PA-1500250\SU0010715\SS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) 163414 <br /> 14 40 <br /> Sample Receipt at: / K CC CH VI <br /> 1. Number of ice c s/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: W-1 <br /> Surface water SWM bact samples:A sample that has a temperature upon receipt of >I00 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? Y No N/A <br /> 4. Were samples received intact?(i.e.no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No /A <br /> . If required, was sample split for analysis? No <br /> 8ti <br /> 8. Were all analyses within holding times at time of receipt? Yes No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put m e e ice chest as the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: VT <br /> r� <br /> 1. Were samples received in a chilled condition? Temps: (0 <br /> Acceptable is above freezing to 6'm C. If many packages are received at one ti a ch k far tests/H.T.'s/ jsh�ess/ <br /> 2. Shipping tracking numbers: l(�n(�Jr <br /> �I � 4F5— <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.) es No <br /> 5. Were sample custody seals intact? No N/A <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labe <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Y No <br /> 2. Did bottle labels correspond with the client's ID's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preseryed? es NoN/A FGL <br /> JExmption:Oil&Grease,VOA and CrVI verified in lab) <br /> 4. VOAs checked for Headspace? Yes No N A <br /> 5. Have rush or project due dates been checked and accepted? es No NIA <br /> 6. Were all analyses within holding times at time of receipt. s No <br /> Attach labels to the containers and include a copy of the CQ b d 'very. <br /> Sample Receipt, Login and Verification completed by(ini als): <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 /> (3-16688)- <br /> By: <br /> Initiated By: <br /> 2. Person Contacted: Live Oak Geo Environmental <br /> Problem: <br /> Resolution: STK1634496 <br /> — <br /> APB-04/21/2016-16:04:33 ire <br /> (Please use the back of this sheet for additional coma <br /> contacts) <br />
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