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SR0083513_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0083513_SSNL
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Last modified
5/20/2021 2:35:50 PM
Creation date
5/20/2021 2:32:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083513
PE
2602
FACILITY_NAME
8675 CAREY CT
STREET_NUMBER
8675
Direction
N
STREET_NAME
CAREY
STREET_TYPE
CT
City
STOCKTON
Zip
95212
APN
08556007
ENTERED_DATE
4/6/2021 12:00:00 AM
SITE_LOCATION
8675 N CAREY CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� McCampbell Analytical, Inc. 1534 Willow Pass Road,Pittsburg,CA 94565-1 70 1 <br /> _ Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.mccampbell.com/E-mail:main@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: AdvancedGeo,Inc. Date and Time Received: 3/19/2021 16:10 <br /> Project: Galvan Property Date Logged: 3/19/2021 <br /> Received by: Valerie Alfaro <br /> WorkOrder Ns: 2103C11 Matrix: Water Logged by: Valerie Alfaro <br /> Carrier: Patrick Johnson(MAI Courier) <br /> Chain of Custody ICOCI Information <br /> Chain of custody present? Yes No❑ <br /> Chain of custody signed when relinquished and received? Yes Ltf] No❑ <br /> Chain of custody agrees with sample labels? Yes W 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 No <br /> COC agrees with Quote? Yes ❑ No❑ NA W <br /> Sample Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA❑d <br /> Shipping container/cooler in good condition? Yes 0 No❑ <br /> Samples in proper containers/bottles? Yes ❑d No❑ <br /> Sample containers intact? Yes LD No❑ <br /> Sufficient sample volume for indicated test? Yes W No❑ <br /> Samole Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes 91 No❑ NA❑ <br /> Samples Received on Ice? Yes 0 No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 5°C NA❑ <br /> ZHS conditional analyses:VOA meets zero headspace Yes LVI No❑ NA❑ <br /> requirement(VOCs,TPHg/BTEX,RSK)? <br /> Sample labels checked for correct preservation? Yes 0 No❑ <br /> pH acceptable upon receipt(Metal:<2;Nitrate 353.2/4500NO3: Yes ❑ No❑ NA❑d <br /> <2;522:<4;218.7:>8)? <br /> UCMR SamUCMR Sam l <br /> pH tested and acceptable upon receipt(200.8::52;525.3::54; Yes ❑ No❑ NA O <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 ID <br /> --------------------------------------------- <br /> --------------------------------------------- <br /> Comments: <br /> Page 10 of 10 <br />
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