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SU0011130 SSNL
Environmental Health - Public
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SU0011130 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:58 AM
Creation date
9/9/2019 11:06:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011130
PE
2622
FACILITY_NAME
PA-1600206
STREET_NUMBER
14629
Direction
E
STREET_NAME
WILDWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
20303002
ENTERED_DATE
11/21/2016 12:00:00 AM
SITE_LOCATION
14629 E WILDWOOD RD
RECEIVED_DATE
11/18/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WILDWOOD\14629\PA-1600206\SU0011130\SS_NL 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-L ry Condition Upon Receipt (Attach to COC) 16 r✓` S�(r 1 <br /> Receipt at: STK C CH VI <br /> • Sample <br /> 1. Number of ice ches ac ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:g!q,7/ <br /> Surface water S WTR bact samples:A sample that has a temperature upon receipt of >10'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? o N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) qj <br /> o <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No N/A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name Vesamp <br /> �No <br /> Sign and date the COC,place in a ziplock and put in the ame ice chest les. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: 5 /�/-L/ 3 /l�1 L <br /> Acceptable is above freezing to 04 C. If many packages are received at one time check for tests/H.T.'s/rushes/ ff— <br /> 2. Shipping tracking numbers: „ „ <br /> 5 �J`�-16 b�/ 057o �j� 8G/"/ D6,7w // " 0 03� <br /> 3. Do the number of bottles received agr e with the COC? � No N/A <br /> • 11 <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No 61- <br /> 5. Were sample custody seals intact? Yes No N/A <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. q <br /> n <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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No � FGL <br /> [Exception:Oil&Grease,VOA and CrV1 verified in lab] /'1�� <br /> 4. VOAs checked for Headspace? No N/A IO <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC fb ery. <br /> Sample Receipt, Login and Verification completed by(initials)r� <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 /> 2. Person Contacted: (3-16608) <br /> • Initiated By: Live Oak Geo Env' <br /> ronmental <br /> Resolution STK 1655 4 6 9 <br /> (Please use the back of this sheet for additional comments c ice-12/19/2016-15:10:53 <br /> contacts) <br />
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