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SU0007786 SSNL
Environmental Health - Public
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SU0007786 SSNL
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Entry Properties
Last modified
5/7/2020 11:33:15 AM
Creation date
9/18/2019 9:20:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0007786
PE
2656
FACILITY_NAME
PA-0900094
STREET_NUMBER
18909
Direction
N
STREET_NAME
ATKINS
STREET_TYPE
RD
City
LODI
APN
01914040
ENTERED_DATE
6/26/2009 12:00:00 AM
SITE_LOCATION
18909 N ATKINS RD
RECEIVED_DATE
6/12/2009 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS4\A\ATKINS\18909\PA-0900094\SU0007786\NL STDY.PDF
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EHD - Public
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AM Environmental Doc M:3DO900002 SOP IO.DOC <br /> Revldon Date: 11/1943 Page Y of 1 <br /> Intelr-L tory Condition Upon Receipt(Attach to COC) lj�gfo` ` <br /> Sample Receipt at: CC CH VI <br /> 1. Numes <br /> Number of ice tslp ksges received: _Shipping tracwng it <br /> 2. Were samples received in a chilled condition? Temps:V-6E-/ <br /> Surthm water SW1R batt sampies:A nmVU that has a tcmpemfte upon moe,ipt of>lCr G wLadws lead or sot, <br /> de®ld be tiagpd un[sas to time since, I I collection bas been hm dhan two hums. <br /> 3. Do the number of bottles received agree with the COC? No NIA <br /> 4. Were samples received intact?(Le.no broken bottles,leaks etc.) No <br /> S. VOAs checked for Headgmce? No MA <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split far pH analysis? Yes No <br /> 8. Were all analyses with holding times at time of receipt? eaD No <br /> 9. Verify sample date,time sampler CW No <br /> Sign and date the GOC,place in a ziplock and put' sem ice chest as the m nples. <br /> Sample Receipt Review completed by(mitrals}:� <br /> Sample Recelpt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> AompUble is abava fiv=ing 60 6°Q If meal►padtages wo.ead at anti time check For u sWELT.'ahusimmi <br /> 2, Shimizig backing numbers:T4a)Iows4,37i(4(ocn <br /> 3. Do the number ofbottles received agree with the COCl No NIA <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) Na <br /> 5. Were sample custody seals intact? No N/A <br /> LRMSign and date the COC,obtain LIsample numbers,select methods/ 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? No <br /> 3. Were all bottles requiring sampple preservation properly d? es bio N/A FOL <br /> 4. VOAe checked for Ham? No NIA <br /> 5. Have rash or project due dates been checked and accepted? No <br /> Attach labeJa to the cors and include a copy of the COC for lab <br /> Sample Receipt,Login and Vmification oDmplftl by(mitiats): <br /> Discrepancy Dntatlon: <br /> Any items above vvhieh axe"No"or do not meet spedfi�ons(ie.temps)must be resolved. <br /> 1. Person Ooh= Phone Nvmiber: <br /> Initiated 13y: Date: <br /> Problem: <br /> Resolution: <br /> 2, Person Contacted' Phone Number: <br /> Initiated By: ri' - <br /> (3-16603) <br /> P <br /> Problem: <br /> Resolution: Live Oak Geo Environmental <br /> (Please use the baric of this sheet for additioxW comments m STK 14 3 0 8 5 4 <br /> iV-X1/29/2014-I2:13:59 <br />
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