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SR0080784 SSNL
Environmental Health - Public
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SR0080784 SSNL
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Entry Properties
Last modified
11/19/2019 1:47:22 PM
Creation date
11/19/2019 1:35:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080784
PE
2602
FACILITY_NAME
JETMULCH FACILITY
STREET_NUMBER
26106
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20910024
ENTERED_DATE
6/20/2019 12:00:00 AM
SITE_LOCATION
26106 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
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 2tnstory Condition Upon Receipt (Attach to COC) tg3 �0 <br /> Sample Receipt at: T CC l CH VI <br /> 1. Number of ice the 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 >100 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.) ge No <br /> 5. VOAs checked for Headspace? Yes 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? No <br /> 9. Verify sample date, time and sampler name Vesamples. <br /> No <br /> Sign and date the COC, place in a ziplock and put in e s e ice chest as <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 at one time check for testsM.T. rushes/ <br /> 2. Shipping tracking numbers: <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.) Y No <br /> 5. Were sample custody seals intact? Yes No to <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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> S. Have rush or project due dates been checked and accepted? Yes No / <br /> 6. Were all analyses within holding times at time of receipt? <� 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: (3-16608) <br /> Problem: Live Oak Geo Enviromental <br /> Resolution: STK 19 3 7 0 0 6 <br /> (Please use the back of this sheet for additional commen CTC-05/17/2019-16.32.57 <br /> contacts) <br />
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