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SR0082807_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0082807_SSNL
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Entry Properties
Last modified
11/30/2020 2:04:56 PM
Creation date
11/25/2020 1:17:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082807
PE
2602
STREET_NUMBER
9100
Direction
N
STREET_NAME
JONATHON
STREET_TYPE
CT
City
STOCKTON
Zip
95212
APN
08558007
ENTERED_DATE
10/30/2020 12:00:00 AM
SITE_LOCATION
9100 N JONATHAN CT
P_LOCATION
99
P_DISTRICT
004
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-L atory Condition Upon Receipt (Attach to COQ20�J q&�� <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ches s packages received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: / / / / <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.) C-T-e-D No <br /> 5. VOAs checked for Headspace? es No N/A <br /> 6. Were sample custody seals intact? Yes No doo <br /> 7. If required, was sample split for pH analysis? Yes No <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 in ame 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 packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <0, <br /> 0 <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.) YSs No <br /> 5. Were sample custody seals intact? Yes No Ps. <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print lab <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? e No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception: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? No <br /> Attach labels to the containers and include a copy of the COC for lab deli <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 /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: <br /> Initiated By: T i t rn r,"•Ir 1'-n^ Z1",r i rnmmnnt-11 <br /> d <br /> , kry VVJti VwV �.:N •i ViM:Vl.rbl� <br /> Resolution: <br /> m (�✓z(`h <br /> (Please use the back of this sheet for additional conn <br /> contacts) <br />
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