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SR0081993 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0081993 SSNL
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Entry Properties
Last modified
5/12/2020 4:06:53 PM
Creation date
5/12/2020 3:20:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081993
PE
2602
STREET_NUMBER
12601
Direction
W
STREET_NAME
PLATTI
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21210003
ENTERED_DATE
4/20/2020 12:00:00 AM
SITE_LOCATION
12601 W PLATTI 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_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L atory Condition Upon Receipt (Attach to COC) 203��1 <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice ch packages received: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: g:4 /aD--T:/ <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? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No tlqa <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 a No <br /> Sign and date the COC,place in a ziplock and put i e same ice chest a 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 6iA C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tra i bers: <br /> )��l , � 7 /Mo)) �)9� < <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.) *es <br /> No <br /> 5. Were sample custody seals intact? 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? No <br /> 2. Did bottle labels correspond with the client's ID's? Pes <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No 61/� FGL <br /> lException:Oil&Crease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? s No N/A <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? 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: <br /> (3-16608) <br /> Problem: Live Oak Geo Environmental <br /> Resolution: <br /> STK 2®3 3 6 31 ber here <br /> (Please use the back of this sheet for additional <br /> APB-03/16/2020-16:47:12 <br /> contacts) <br />
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