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SR0080520
Environmental Health - Public
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SR0080520
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Last modified
11/8/2019 3:15:15 PM
Creation date
11/8/2019 1:55:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SR0080520
PE
2604
FACILITY_NAME
NIHAD PROPERTY
STREET_NUMBER
6599
Direction
E
STREET_NAME
FOPPIANO
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08641020
ENTERED_DATE
4/24/2019 12:00:00 AM
SITE_LOCATION
6599 E FOPPIANO LN
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC)IK5-6o�58q <br /> Sample Receipt at: STK CC ) CH VI <br /> 1. Number of ice packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: / / / / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I 0*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? es No <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? s No <br /> 9. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC, place in a ziplock and pu ' same ice chest as t e samples. <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 6*N.C. If many packages are received at one time check for tes .T.'s/rushes/ <br /> 2. Shipping tracking numbers: �0-10—) I I <br /> I 1�' (J-1``/ <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. 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? gess7 <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No (1��) FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? < No N/A <br /> 5. Have rush or project due dates been checked and accepted? Z::?—BS 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 (initial —J I <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: nL - - - <br /> (3-16608) <br /> Initiated B s �+,., + <br /> Problem: y Lite Oak ��vv Liivriry wient ual <br /> Resolution: STK O 5 6 3 8 O <br /> (Please use the back of this sheet for additional comments IV-11/13/2018-15:54:09 <br /> contacts) <br />
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