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SR0081592 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0081592 SSNL
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Entry Properties
Last modified
2/6/2020 11:09:56 AM
Creation date
2/6/2020 9:25:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081592
PE
2602
FACILITY_NAME
BELLA GARDENS WINE CELLAR
STREET_NUMBER
23563
Direction
S
STREET_NAME
MANTECA
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
22611046
ENTERED_DATE
1/2/2020 12:00:00 AM
SITE_LOCATION
23563 S MANTECA 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_12-11.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chess packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: //6/ <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.) Y 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 /A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name M No <br /> Sign and date the COC, place in a ziplock and putin th same ice chest as the 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 tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: ;5rz/1-/�M y/0 v <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.) es3 No <br /> 5. Were sample custody seals intact? Yes NoN/ <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe s. <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? es No N/A FGL <br /> IException:Oii&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? e No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No <br /> 6. Were all analyses within holding times at time of receipt? Oev No <br /> Attach labels to the containers and include a copy of the COC for lab dejivery. <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: Live Qak Geo Zvi ronenta 1 <br /> Problem: <br /> Resolution: STK1933985 <br /> Please use the back of this sheet for additional comr ere <br /> ( C'I�C-03/22/2019-16:26:55 <br /> contacts) <br />
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