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SU0011244 SSNL
Environmental Health - Public
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SU0011244 SSNL
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Entry Properties
Last modified
5/7/2020 11:35:03 AM
Creation date
9/9/2019 10:15:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011244
PE
2622
FACILITY_NAME
PA-1700035
STREET_NUMBER
277
Direction
N
STREET_NAME
SIBLEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95215-
APN
10329030
ENTERED_DATE
2/24/2017 12:00:00 AM
SITE_LOCATION
277 N SIBLEY AVE
RECEIVED_DATE
2/24/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SIBLEY\277\PA-1700035\SU0011244\SS STUDY .PDF
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12-10.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> . Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CR VI <br /> 1. Number of ice chests packages received: l Shipppinnggtracking# <br /> 2. Were samples received in a chilled condition? Temps: / <br /> Surface water SVIM bact samples: A sample that has a temperature upon receipt of >l0°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? <5�J No <br /> 6. Were sample custody seals intact? Yes No af <br /> 7. If required, was sample split for pH analysis? Ye No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and samplername es No <br /> Sign and date the COC,place in a ziplock and put in thels a ice chest as a samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: L91 /—/—/ <br /> Acceptable is above freezing to 6.'�C. If many packages are received at one time check for tests/H.V s/rushes/ <br /> 2. Shippingxt�acking num � �iYedVee 3. Do the L er of bottles rewith the(�JCOC? No N/A <br /> 40 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 5. Were sample custody seals intact? Yes No / ,J <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? Y No �� <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 1�9� FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] � No N� <br /> 4. VOAs checked for Headspace? <br /> 5. Have rush or project due dates been checked and accepted? No /A <br /> 6. Were all analyses within holding times at time of receipt', es No <br /> Attach labels to the containers and include a copy of the COC for lab deliv� <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 /> i. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> (3-16608) <br /> 2. Person Contacted: Tiv+��' n-1r rnn Nl!i+^ <br /> Initiated By: ++ vai+ ��v 1AIV II. iud u�u+ <br /> Problem: S�+TV1 f G 7 <br /> Resolution: ►7 11\ <br /> IV-01/31/2017-15:08:33 ober here <br /> (Please use the back of this sheet for additions <br /> contacts) - ---- - - <br />
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