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SR0080159 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0080159 SSNL
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Entry Properties
Last modified
11/19/2019 2:40:14 PM
Creation date
11/19/2019 2:30:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080159
PE
2601
STREET_NUMBER
13950
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05514023
ENTERED_DATE
2/4/2019 12:00:00 AM
SITE_LOCATION
13950 N THORNTON 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.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ry Condition Upon Receipt (Attach to COC) f q31��/ <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of is packages received: Shipping tracking 4 <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 00 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? Y No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Ye N <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date, time and sampler name o <br /> Sign and date the COC,place in a ziplock and pu in same is ches 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 04 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3vUaciri�, , <br /> r "W644XII, <br /> 3. Do the number of bottles received agree with the COC? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a No <br /> 5. Were sample custody seals intact? Yes No N/A <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 FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No , <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? 4fe_ No <br /> Attach labels to the containers and include a copy of the COC for lab drJivery. <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: (3-16608) <br /> Initiated By: hive Oak Geo Environmental <br /> Problem: <br /> Resolution: $5mv 1 g 314 81 <br /> (Please use the back of this sheet for additional commen <br /> C'TC-01/30/2019-15:56:03 <br /> contacts) <br />
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