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SR0081797_SSNL
Environmental Health - Public
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SR0081797_SSNL
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Entry Properties
Last modified
11/19/2024 3:59:57 PM
Creation date
3/4/2020 9:34:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081797
PE
2602
STREET_NUMBER
20679
Direction
E
STREET_NAME
STATE ROUTE 120
City
ESCALON
Zip
95320
APN
20508004
ENTERED_DATE
2/25/2020 12:00:00 AM
SITE_LOCATION
20679 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-2.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-LjayaRtory Condition Upon Receipt (Attach to COC)ZO335q' <br /> Sample Receipt at: CC 1 CH VI <br /> I. Number of ice chests/packages received: ! Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 5-CP/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >10'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 <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Y No / <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and p!4�7 <br /> e ice chest ase 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 60 C. many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> /� <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. Were sample custody seals intact? es No TOA <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? a 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? s No U/ FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. 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 /> (3-18454) <br /> Initiated By: Latitude 31 Partners LIC <br /> Problem: STR2 @ 3 3 C 91 <br /> Resolution: 7 7 <br /> (Please use the back of this sheet for additional c ppB-03/16/2020-16:46:31 ger here <br /> contacts) -- — --- — <br />
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