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SR0082577_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0082577_SSNL
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Entry Properties
Last modified
10/27/2020 3:00:10 PM
Creation date
10/27/2020 2:51:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082577
PE
2602
FACILITY_NAME
DELAPENA PROPERTY - ROOPA DELAPENA
STREET_NUMBER
24234
Direction
N
STREET_NAME
SANDLERSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220
APN
00536015
ENTERED_DATE
9/9/2020 12:00:00 AM
SITE_LOCATION
24234 N SANDLERSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- ory Condition Upon Recgipt (Attach to COC) <br /> Sample Rece pt a TK CC CH VI <br /> 1. Number of is c ages r ceived: / Shippng tracking# <br /> 2. Were samples received to a chill d condition? / <br /> Temps.s. I / <br /> Surface water SWTR bact samples: A ample 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 tha two hours. <br /> 3. Do the r umber of bottles received agree with the COC? No N/A <br /> 4. Were sa nples received intact?(i e. no broken bottles, le s etc. No <br /> 5. VOAs c ecked for Headspace? es No N/A <br /> 6. Were sa nple custody seals intac ? Yes No <br /> 7. If requir d, was sample split for H analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt. No <br /> 9. Verify sample date, time and sai ripler name lase <br /> No <br /> Sign and date he COC,place in a zipl ck and put in the same i e ches samples. <br /> Sample Recei t Review completed by (initials): <br /> Sample Rece' t at SP: r n <br /> 1. Were sa nples received in a chill d condition? Temps: <br /> Acceptabl is above freezing to 6-C. if many packages are received of one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping,tracking numbers: <br /> 0 13251 -� �Sb 13 3GIZe; <br /> 3. Do the namber of bottles receive agree with the COC? es No N/A <br /> 4. Were samples received intact? (i no broken bottles, le s etc.) es No <br /> 5. Were sample custody seals intac ? Yes No / <br /> Sign and date he COC, obtain LIMS ample numbers, select ethods/tests and print labels. <br /> Sample Verification, Labeling and I istribution: <br /> 1. Were all requested analyses and stood and acceptable? No <br /> 2. Did bottle labels correspond witf the client's ID's? No <br /> 3. Were all bottles requiring samph preservation properly pgeserved? es No ®. FGL <br /> (Exception: M1&Grease,VOA and CM verified in labl <br /> 4. VOAs c ecked for Headspace? No N/A <br /> 5. Have ru 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 t the containers and inc de a copy of the COC pr lab delivry. <br /> Sample Receipt, Login and Verificatio completed by (initials) <br /> Discrepancyocumentation: <br /> Any items abo a which are "No" or do not meet specificationst.e. temps) must be resolved. <br /> 1. Person ntacted: one Number: <br /> Initiated y: ate: <br /> Problem <br /> Resolution: <br /> 2. Person ntacted: (:i-1bbf4b) <br /> Initiated y: 11;1 t to (lob ('-&A1� ,t►;rn'AM 'A <br /> Problem: � <br /> +A Y V#AL► VVV iY L VYIW11 <br /> Resoluti n: S TK G v15 19 7 9 <br /> fere <br /> (Please use the back of this sheet for additional comr lv-dts/1y/LtOL10-1b:L1:t04 <br /> contacts) <br />
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