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SR0082378_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0082378_SSNL
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Entry Properties
Last modified
9/1/2020 4:25:35 PM
Creation date
9/1/2020 4:10:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082378
PE
2602
STREET_NUMBER
18700
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24522028
ENTERED_DATE
7/27/2020 12:00:00 AM
SITE_LOCATION
18700 E RIVER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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I <br /> FGL Environ ental Doc ID: 3D0900002_SOP_12-2.DOC <br /> Revision Date: 0/09/14 Page 1 of 1 <br /> nter-La tory Condition Upon Receipt (Attach to COC) -20-3 S9oq <br /> Sample RecJt at: TK CC CH VI <br /> 1. Numbf ice ches packages received: Shipping tracking# <br /> 2. Were sies received in a chilled condition? Temps: &- 8 / <br /> Surfaceer SWTR bact samples: A sample that has a temperature upon receipt of >10°C,whether iced or not, <br /> should be Hagunless the time since sample collection has been less than two hours. <br /> 3. Do thember of bottles received agree with the COC? Yes No N/A <br /> 4. Were pies received intact?(i.e. no broken bottles, leaks etc.) Yes No <br /> 5. VOAscked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If requiI ed, was sample split for pH analysis? Yes No <br /> 8. Were a 1 analyses within holding times at time of receipt? No <br /> 9. Verify ample date, time and sampler name es No <br /> Sign and dat the COC,place in a ziplock and put int same ice chest as the samples. <br /> Sample Rec ipt Review completed by (initials): <br /> Sample Re ipt at SP: <br /> 1. Were amples received in a chilled condition? Temps: <br /> Accep le is above freezing to 6T C. if many packages are received at one time check fort T.'s/rushes/ <br /> 2. Shipp' g tracking numbers: <br /> 3. Do th number of bottles received agree with the COC? No N/A <br /> 4. Were pies received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. Were ample custody seals intact? Yes No <br /> Sign and e the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Ve 'fication,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did b the labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> lEzception:Oil&Grease,VOA and CM verified in lab[ <br /> 4. VO checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Ye No <br /> 6. Wer all analyses within holding times at time of receipt? 'e No <br /> Attach lab Is to the containers and include a copy of the COC for lab delivery. <br /> Sample R ceipt, Login and Verification completed by (initials): <br /> Discrepa cy Documentation: <br /> Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> I. Pers n Contacted: Phone Number: <br /> Initi ted By: Date: <br /> Pro lem: <br /> Resolution: <br /> I (3-18528) <br /> 2. Person Contacted: <br /> Initiated By: Advanced Des i qn Group <br /> Pro leSTK2038909 <br /> Res Iution: <br /> „ <br /> (Please u e the back of this sheet for additional comme CTC-06/26/2020-15:31:30 e <br /> contacts) <br />
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