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CO0052167
Environmental Health - Public
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2500 – Emergency Response Program
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CO0052167
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Entry Properties
Last modified
11/20/2024 8:49:40 AM
Creation date
3/3/2021 4:03:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0052167
PE
2546
STREET_NUMBER
0
Direction
E
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
APN
NEAR 09143003
ENTERED_DATE
6/30/2020 12:00:00 AM
SITE_LOCATION
EAST BOUND HWY 26 EAST OF FINE RD
RECEIVED_DATE
6/30/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> M c C a m p b e l l Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> `'—UWA � "When Qualty Counts" h '�//www.mccam bell.com/E-mail:main Ct�ccam bell.coin <br /> Sample Receipt Checklist <br /> Client Name: Castle Analytical Laboratory Date and Time Received: 7/2/2020 09:55 <br /> Project: 2007012/SJ Date Logged: 7/2/2020 <br /> Received by: Kena Ponce <br /> WorkOrder No: 2007082 Matrix: Soil Logged by: Kena Ponce <br /> Carrier: Golden State Overniaht <br /> Chain of Custody(COC)Information <br /> Chain of custody present? Yes ❑d No❑ <br /> Chain of custody signed when relinquished and received? Yes ❑d No❑ <br /> Chain of custody agrees with sample labels? Yes ❑d No❑ <br /> Sample IDs noted by Client on COC? Yes W No❑ <br /> Date and Time of collection noted by Client on COC? Yes No❑ <br /> Sampler's name noted on COC? Yes ❑d No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NAW <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NAW <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes ❑d No❑ <br /> Sufficient sample volume for indicated test? Yes ❑d No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes No❑ NA❑ <br /> Samples Received on Ice? Yes ❑ No❑d <br /> Sample/Temp Blank temperature Temp: NA❑d <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA <br /> 141 <br /> Sample labels checked for correct preservation? Yes d❑ No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NAW <br /> <2;522: <4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8::52;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❑ NAW <br /> Comments: <br /> Page 8 of 8 <br />
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