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SR0080153 SSNL
Environmental Health - Public
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SR0080153 SSNL
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Entry Properties
Last modified
11/19/2019 8:51:24 AM
Creation date
11/19/2019 8:30:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080153
PE
2602
FACILITY_NAME
FORD CONSTRUCTION FACILITY
STREET_NUMBER
12505
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
APN
05132010
ENTERED_DATE
2/1/2019 12:00:00 AM
SITE_LOCATION
12505 E BRANDT RD
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-La atory Condition Upon Receipt (Attach to COC)/F-5755 <br /> Sample Receipt at: /STK CC CH VI <br /> 1. Number of ice ches s/packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:7---, / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0'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.) s No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No /A <br /> 7. If required, was sample split for pH analysis? Yes No A <br /> 8. Were all analyses within holding times at time of receipt? e No <br /> 9. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC, place in a ziplock and put i t-h e ice chest as 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.',',.C. If many packages are received at one time check for sts/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3. Do the number of bottles received agree with the COC? les7 <br /> 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? Fes <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 N/ FGL <br /> [Exception: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? es No N/A <br /> 6. Were all analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COC for 1 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: (3-16608) <br /> Problem: Live Oak On Environmental <br /> Resolution: <br /> STK1857589 <br /> (Please use the back of this sheet for additional commen <br /> APB-12/10/2018-16:28:27 <br /> contacts) <br />
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