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SR0082688_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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33 (STATE ROUTE 33)
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31390
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2600 - Land Use Program
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SR0082688_SSNL
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Entry Properties
Last modified
11/20/2024 8:59:18 AM
Creation date
11/6/2020 4:57:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082688
PE
2602
STREET_NUMBER
31390
Direction
S
STREET_NAME
STATE ROUTE 33
City
TRACY
Zip
95304
APN
25531022
ENTERED_DATE
10/2/2020 12:00:00 AM
SITE_LOCATION
31390 S HWY 33
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC)2 D�ZoqN <br /> Sample Receipt at: �:ys/ppackages <br /> CC ' CH VI <br /> 1. Number of ice received: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps:J_,3 /&-/ / / <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? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? ��se No N/A <br /> 6. Were sample custody seals intact? Yes No 6 <br /> 7. If required, was sample split for pH analysis? Yes No '<JM <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name a No <br /> Sign and date the COC, place in a ziplock and put i same ice chest as the 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 pac ges are received atone time check for tests/H.T.'s/rushes/ <br /> 2. Ship in tracking numbers: /1 « /1 Al <br /> 3. Do t e number of bottles received a ee with the COC? NoG <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) © No <br /> 5. Were sample custody seals intact? Yes No QE Lzl� <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? C-:3a:�)No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No <Z2Vrj—)FGL <br /> lException:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? No N/A <br /> 6. Were all analyses within holding times at time of receipt? < es No <br /> Attach labels to the containers and include a copy of the COC or a dei <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: Phone N„mber- <br /> Initiated By: 1 -lbb�ts 1 <br /> Problem: T i im NIr ('nn r1mii rnmmantn l <br /> Resolution: y,V%0 VW1. VVV a,aaraA.VAunVuVua <br /> CTK 1111..') L;0A <br /> (Please use the back of this sheet for additional comments o 0 �W J 1'J_J# -1 <br /> contacts) 1V—�Oy/SOL/L�OLb-15:42:20 <br />
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