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SR0080845 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0080845 SSNL
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Entry Properties
Last modified
11/7/2019 9:47:44 AM
Creation date
11/7/2019 9:43:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080845
PE
2602
FACILITY_NAME
3231 E SPIESS RD
STREET_NUMBER
3231
Direction
E
STREET_NAME
SPIESS
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00535011
ENTERED_DATE
7/2/2019 12:00:00 AM
SITE_LOCATION
3231 E SPIESS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-2.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to COC) D 0 <br /> Sample Receipt at: STK CC I <br /> CH I <br /> 1. Number of ice ch ackages received: Shi ping tracking # <br /> 2. Were samples received in a chilled condition? Temps: P / <br /> Surface water SWTR 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? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. VOAs checked for Headspace? es No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No / <br /> 8. Were all analyses within holding times at time of receipt? $te <br /> No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put i t e same ice chest asamples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6E C. If many packages are received a one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> or2�4 <br /> c5L�CD <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) s No <br /> 5. Were sample custody seals intact? Yes No <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? es 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 N/ FGL <br /> lEzception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? No N/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 delivery. <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: <br /> Initiated By: ^,i^ <br /> Problem: _ <br /> Resolution: `7 <br /> (Please use the back of this sheet for additional come - re <br /> m <br /> contacts) <br />
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