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ARCHIVED REPORTS_2014_4
Environmental Health - Public
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ARCHIVED REPORTS_2014_4
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Last modified
7/18/2020 4:16:35 PM
Creation date
7/3/2020 10:57:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2014_4
RECORD_ID
PR0440005
PE
4433
FACILITY_ID
FA0004516
FACILITY_NAME
FORWARD DISPOSAL SITE
STREET_NUMBER
9999
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20106001-3, 5
CURRENT_STATUS
01
SITE_LOCATION
9999 AUSTIN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4433_PR0440005_9999 AUSTIN_2014_4.tif
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EHD - Public
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FGL Environmental <br />Revision Date: 11/18/13 <br />Doc ID: 3D0900002 SOP IOXOC <br />Page 1 of 1 <br />Inter-Ln <br />ry Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: CC CH V1 <br />1. Numberoficechesges 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 >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? <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />5. VOAs checked for Headspace? <br />6. Were sample custody seals intact? <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? <br />9. Verify sample date, time sampler <br />Sign and date the COC, place in a ziplock and put ' e e ice <br />Sample Receipt Review completed by (initials): <br />Yes No <br />Yes No <br />No <br />es No <br />chest as the samples. <br />N/A <br />icy <br />>t �•r <br />,a <br />ample Receipt at SP: <br />. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6* C. If many packages are one time check for tests1H.T.Wrashed <br />2. Shippingtrackingnb <br />3. Do the neer 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 ((� <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? Y No <br />3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No " <br />Attach labels to the containers and include a copy of the COC for lab deliv <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: (3-8692) <br />Problem: Forward Inc. <br />Resolution: <br />(Please use the back of this sheet for additional comm- STK 14 3 7 6 4 8 <br />cone) SRP -07/31/2014-11:56:29 <br />
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