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SU0009808 SSNL
Environmental Health - Public
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SU0009808 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:15 AM
Creation date
9/9/2019 10:17:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009808
PE
2622
FACILITY_NAME
PA-1300176
STREET_NUMBER
19625
Direction
N
STREET_NAME
SOUTHWORTH
STREET_TYPE
RD
City
WALLACE
Zip
95254-
APN
02326001
ENTERED_DATE
10/28/2013 12:00:00 AM
SITE_LOCATION
19625 N SOUTHWORTH RD
RECEIVED_DATE
10/25/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SOUTHWORTH\19625\PA-1300176\SU0009808\SSS STDY.PDF
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EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_15.DOC <br /> Revision Date: 10/03/13 Page: 1 of 1 <br /> Condition Upon t (Attar o COC) <br /> CC CHSTK V1 P <br /> Sample Receipt: ' <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> 3. Were samples received in a chilled condition? Temps.&= <br /> 4. Surface water(SWTR)bact samples: A sample that has a temperature upon receipt of>100C, <br /> whether iced or not, should be flagged unless the time since sample collection has been less than <br /> two hours. <br /> 5. Do the number of bottles received agree with the COC? (�es� No N/A <br /> 6. Verify sample data, time, sampler jY�e�J No <br /> 7. Were samples received intact?(i.e.no broken bottles, leaks etc.) (9) No <br /> 8. Were sample custody seals intact? Yes No /A <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? 6�'No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> 4. VOAs checked for Headspace? tNoo N1 <br /> 5. Were all analyses within holding times at time of receipt?6. Have rush or project due dates been checked and accepted? es No <br /> Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) <br /> Sample Reccipt, Login and Verification completed by(initials): <br /> Discrepancy Documentation: (attach additional pages if needed) <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 Date: <br /> Problem: <br /> (3-16608) <br /> Resolution: Live Oak Geo Environmental <br /> STK1350975 <br />
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