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SR0083315_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0083315_SSNL
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Last modified
3/22/2021 2:22:51 PM
Creation date
3/22/2021 2:02:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083315
PE
2602
FACILITY_NAME
GLASSFAB TEMPERING
STREET_NUMBER
8690
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25321018
ENTERED_DATE
2/22/2021 12:00:00 AM
SITE_LOCATION
8690 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to COC)40'57525 <br /> Sample Receipt at: STK CC CH V1 <br /> 1. Number of ice the packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: '7A/ / / / <br /> Surface water S WTR 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? fNo N/A <br /> 6. Were sample custody seals intact? Yes No COD <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 namees No <br /> Sign and date the COC,place in a ziplock and put in th a ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: 2 <br /> 1. Were samples received in a chilled condition? Temps: O / <br /> Acceptable is above freezing to 6'm C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 1--7- <br /> 171) <br /> �k t/fsS 3-� (10 <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.) e No <br /> 5. Were sample custody seals intact? Yes No 1/ <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? I- <br /> 5. <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? No N/A <br /> Have rush or project due dates been checked and accepted? No <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 for lab delivery. <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: (3016608) <br /> Initiated By: <br /> Problem: Uve Oak 600 ERVI MIRM8981 <br /> Resolution: <br /> STIQ0:51525 <br /> (Please use the back of this sheet for addition nate <br /> ctc 1211812020 15:38:31 <br /> contacts) <br />
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