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SR0079974
Environmental Health - Public
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SR0079974
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Last modified
11/8/2019 3:08:45 PM
Creation date
11/8/2019 1:55:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SR0079974
PE
2601
FACILITY_NAME
NIHAD PROPERTY
STREET_NUMBER
6599
Direction
E
STREET_NAME
FOPPIANO
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08641020
ENTERED_DATE
12/12/2018 12:00:00 AM
SITE_LOCATION
6599 E FOPPIANO LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC)1gs�38q <br /> Sample Receipt at: STK CC )—Shipping <br /> CH VI <br /> 1. Number of ice packages received: tracking # <br /> 2. Were samples received in a chilled condition? Temps:,&I/ <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 <ZISZD <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? Xte <br /> No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC, place in a ziplock and pu same ice chest mples. <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•%,C. If many packages are received at one time check for tesT.'s/rushes/ <br /> 2. Shipping tracking numbers: ��01 --) <br /> .1 0� � I 1r <br /> 1 /� <br /> 3. Do the number of bottles received agree with the COC? a� 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? es 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 CN-/-A) FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? CZ;:� 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? —=eNo <br /> Attach labels to the containers and include a copy of the COC for`lab <br /> delivery. <br /> Sample Receipt, Login and Verification completed by (initial <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 /> (3-16608) <br /> Initiated By: �y <br /> Problem: LiVe Oak rev^ Dv irvmmile"tal <br /> Resolution: STK 1 8 C G 3 8 p <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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