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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 10.DOC I <br />Page 141 <br />Inter-L9atory Condition Upon Receipt (Attach to COC) /�-q% <br />Sample Receipt at:A�packages <br />CC CH VI1. Number of ice 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 i <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.)fes <br />No <br />5. VOAs checked for Headspace? No <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 sampler es " No <br />Sign and date the COC, place in a ziplock and put ' s e ice chest as 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 6° C. if many packages are received at one titre; check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <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 A <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labs . <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? o <br />3. Were all bottles requiring sample preservation properly preserved? No e Ma <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted?V <br />s No <br />Attach labels to the containers and include a copy of the COC for <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 />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comments or <br />contacts) <br />Phone Number. <br />Date: <br />(3-8692) <br />Forward Inc, <br />8 14398 <br />NMP -09/25/2014-0 :54:56 <br />
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