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SR0084295_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0084295_SSNL
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Entry Properties
Last modified
10/27/2021 11:53:23 AM
Creation date
10/27/2021 11:26:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084295
PE
2602
STREET_NUMBER
13180
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06502033
ENTERED_DATE
9/30/2021 12:00:00 AM
SITE_LOCATION
13180 N JACK TONE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environm ntal <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-1.DOC <br />Page 1 of 1 <br />>tte atory Condition Upon Receipt (Attach to COC) <br />Sample Recei STK C CH VI <br />1. Number i ages 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 inless the time since sample collection has been less than two hours. <br />3. Do the n ber of bottles received agree with the COC? es No N/A <br />4. Were sarr ples received intact? (i.e. no broken bottles, leaks et . No <br />5. VOAs checked for Headspace? No N/A <br />6. Were sarr ple custody seals intact? Yes N <br />7. If require , was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sa nple date, time and sampler name - o <br />Sign and date t ie COC, place in a ziplock and put in a ice ches as a samples. <br />Sample Receip Review completed by (initials): <br />Sample Receil it at SP: <br />1. Were samples received in a chilled condition? Temps: C <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />3. Do the n ber of bottles received agree with the COC? CNo N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a No <br />5. Were sample custody seals intact? Yes No (Ii/ <br />Sign and date t�a COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verifi <br />ation, Labeling and Distribution: <br />1. Were all <br />-equested analyses understood and acceptable? <br />No <br />2. Did bottle <br />labels correspond with the client's ID's? <br />9 <br />No <br />3. Were all <br />ottles requiring sample preservation properly preserved? <br />No N/A FGL <br />lException: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked <br />for Headspace? Yes <br />No <br />5. Have rus <br />or project due dates been checked and accepted? <br />No N/A <br />6. Were all <br />analyses within holding times at time of receipt? e <br />'i <br />No <br />Attach labels t <br />the containers and include a copy of the COC for lab delivery. <br />Sample Receipt, <br />Login and Verification completed by (initials):__Ci <br />DiscrepancyDocumentation: <br />Any items above <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />I. Person <br />ntacted: Phone Number: <br />Initiated <br />y: Date: <br />Problem <br />Resoluti <br />n: <br />2. Person C <br />Initiated <br />Problem <br />Resoluti <br />(Please use tht <br />contacts) <br />tacted: <br />y: <br />back of this sheet for additional co <br />,(3016608) <br />llv Oak Goo Enuironmema <br />6 <br />STK21529 <br />r allb 09113/2024 940:0& <br />
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