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SR0082278_SSNL
Environmental Health - Public
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SR0082278_SSNL
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Entry Properties
Last modified
2/25/2021 8:42:33 AM
Creation date
7/29/2020 2:35:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082278
PE
2602
FACILITY_NAME
23811 S JACKTONE RD
STREET_NUMBER
23811
Direction
S
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22817034
ENTERED_DATE
7/2/2020 12:00:00 AM
SITE_LOCATION
23811 S JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br /> Revision Date: 0/09/14 Page 1 of 1 <br /> Inter- tory Condition Uon Receipt (Attach to C0Q/Z 03 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number f ice c packages received: Shipping tracking 4 <br /> 2. Were samples received in a chilled condition? Temps: K /i0—'L/ <br /> Surface wa-.er 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 then ber of bottles received agree with the COC? eeae > No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) QYe No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No / <br /> 7. If require ,was sample split for pH analysis? Yes No <br /> 8. Were all yses within holding times at time of receipt? � 1, <br /> 9. Verify sa nple date,time and sampler name Pe <br /> No <br /> Sign and date e COC,place in a ziplock and put in same ice chest asamples. <br /> Sample Receip Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were sarriples 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: �W38( o/7r <br /> 3. Do the number of bottles received agree with the COC? $es <br /> No N/A <br /> 4. Were s ples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were s ple custody seals intact? No N/ <br /> Sign and date t ie COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all equested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs ch cked for Headspace? e No N/A <br /> 5. Have rus or project due dates been checked and accepted? es No <br /> 6. Were all clyses within holding times at time of receipt? es No <br /> Attach labels t the containers and include a copy of the COC for lab deli <br /> Sample Receipt,Login and Verification completed by (initials):�Q�, <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 y: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Cc ntacted: <br /> Initiated ! I via ;i;l rnl i rnnruo�,r a <br /> Problem: <br /> Resolution: <br /> (Please use the ack of this sheet for additional c, <br /> CTC ji5/2v_u-io:�.;�: �- erhere <br /> contacts) <br />
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