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SR0082765_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0082765_SSNL
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Entry Properties
Last modified
7/15/2021 9:25:09 AM
Creation date
11/23/2020 8:53:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082765
PE
2602
FACILITY_NAME
21151 E SARA LN
STREET_NUMBER
21151
Direction
E
STREET_NAME
SARA
STREET_TYPE
LN
City
LINDEN
Zip
95236
APN
18336070
ENTERED_DATE
10/21/2020 12:00:00 AM
SITE_LOCATION
21151 E SARA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccatnpbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: AdvancedGeo,Inc. Date and Time Received: 10/2/2020 14:15 <br /> Project: Hoban Property Date Logged: 10/2/2020 <br /> Received by: Lilly Ortiz <br /> WorkOrder Ns: 2010098 Matrix: Water Logged by: Lilly Ortiz <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes (] No❑ <br /> Chain of custody signed when relinquished and received? Yes W No❑ <br /> Chain of custody agrees with sample labels? Yes 0 No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA W <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes © No❑ <br /> Samples in proper containers/bottles? Yes W No❑ <br /> Sample containers intact? Yes © No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Sample Preservation and Hold Time tHT)Information <br /> All samples received within holding time? Yes C No❑ NA <br /> Samples Received on Ice? Yes C No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 2.1°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> Sample labels checked for correct preservation? Yes No❑ <br /> pH acceptable upon receipt(Metal: <2; Nitrate 353.2/4500NO3: Yes L, No❑ NA <br /> <2;522: <4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:s2; 525.3::54; Yes ❑ No❑ NA❑d <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑� <br /> - -- -- -- -------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br />
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