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SR0083625_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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2600 - Land Use Program
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SR0083625_SSNL
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Entry Properties
Last modified
11/19/2024 1:52:08 PM
Creation date
5/20/2021 12:42:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083625
PE
2602
STREET_NUMBER
19351
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
01322032
ENTERED_DATE
4/27/2021 12:00:00 AM
SITE_LOCATION
19351 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of i <br /> Inter- ory Condition Upon .Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice c es s packages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: -I / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >100 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 e . No <br /> 5. VOAs checked for Headspace? - Yes No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required,was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? s No <br /> 9. Verify sample date,time and sampler name s No <br /> Sign and date the COC,place in a ziplock and put in the s e ice the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> ' al <br /> 1. Were sans les received m a chilled condition? Tem s: / <br /> pp <br /> Acceptable is above freezing to 60 C. If many ackages are received tone time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: J �j <br /> 3. Do the num o Aes eived ag e with the COC? No NIA <br /> 4. Were samples received intact?(i.e.no broken bottles,leaks etc.) Je No <br /> 5. Were sample custody seals intact? Yes No / <br /> Sign and date the COC,obtain LIMS sample numbers,select methods/tests and print labels. <br /> 1 <br /> 3 Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? fyp No <br /> 1 2. Did bottle labels correspond with the client's ID's? Yes oto <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in labl <br /> t 4. VOAs checked for Headspace? fe No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No /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 delivery <br /> Sample Receipt,Login and Verification completed by (initials): <br /> Discrepancy Documentation- <br /> Any items above which are 9, o"or do t meet specifications(i.e.temps)must bee Iv d. <br /> I. Person Contacted: - Phone Nu er: <br /> Initiated By: Date: <br /> Problem: <br /> i Resolution. Vim' <br /> 2. rsa (3018673) <br /> Con ta� <br /> Initiated By: Brad Christy <br /> Problem: <br /> Resolution: S1K2131116 <br /> (Please use the back of this sheet for additional c cte 011261202116,49:06 <br /> contacts) <br />
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