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SR0081401 SSNL
Environmental Health - Public
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SR0081401 SSNL
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Entry Properties
Last modified
12/26/2019 2:11:46 PM
Creation date
12/26/2019 2:01:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081401
PE
2602
STREET_NUMBER
15757
Direction
E
STREET_NAME
SARGENT
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05307006
ENTERED_DATE
11/14/2019 12:00:00 AM
SITE_LOCATION
15757 E SARGENT 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_12-11.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L atony Condition Upon Receipt (Attach to COC) lfjj36 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ches 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? Yes No N/A <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 namePhesamples. <br /> No <br /> Sign and date the COC,place in a ziplock and put n i� ame 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 6"C. If many packages are received at one time check for tests/H.T.'s/ ches/ <br /> 2. Shipping tracking numbers: �A 0 V52�70 7 0234 <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? s No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ® 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? a 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: Phone_Number;_ <br /> Initiated By: t —loo�uo <br /> Problem: nn k („�?r' ?t'?rr+nmpen <br /> Resolution: <br /> (Please use the back of this sheet for additional commet e <br /> contacts) <br />
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