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SR0084478_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0084478_SSNL
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Entry Properties
Last modified
12/9/2021 1:30:25 PM
Creation date
12/9/2021 1:22:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084478
PE
2602
STREET_NUMBER
32521
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25510026
ENTERED_DATE
11/15/2021 12:00:00 AM
SITE_LOCATION
32521 S KOSTER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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FGL Environmen 1 <br />Revision Date: 10/09/14 <br />Doc ID: 3D900002_SOP_12-1.DOC <br />Page I of 1 <br />In er-L tory Condition Upon Receipt (Att.- <br />Sample Receipt t. ST CC CH VI <br />1. Number of ' e chests/packages received: Shipping trackin <br />2. Were sampl s received in a chilled condition? Temps: � / <br />Surface water WTR bact samples: A sample that has a temperature upon receipt <br />should be flagged un ess the time since sample collection has been less than two hours. <br />to COC) O� 1.55 03 <br />/ / 1 <br />' > 10° C, whether iced or not, <br />3. Do the num <br />er of bottles received agree with the COC? <br />e No N/A <br />4. Were samples, <br />received intact? (i.e. no broken bottles, leaks etc.) <br />o <br />5. VOAs checked <br />for Headspace? <br />Yes No N/A <br />6. Were samp <br />e custody seals intact? <br />Yes No <br />7. If required, <br />as sample split for pH analysis? <br />No <br />8. Were all an <br />yses within holding times at time of receipt? <br />No <br />�51 <br />9. Verify sam <br />le date, time and sampler name <br />No <br />Sign and date the <br />COC, place in a ziplock and put in th e ice chest as <br />e samples. <br />Sample Receipt <br />eview completed by (initials): <br />Sample Receipt <br />t SP: <br />1. Were samp <br />es received in a chilled condition? Temps: /(-a <br />/J <br />Acceptable is <br />above freezing to 6B C. If many packages are received at one time checc <br />for tests-M.T.'s/rushes/ <br />2. Shipping tr <br />eking numbers: / <br />II <br />3. Do the nurr <br />ber of bottles received agree with the COC?s <br />No N/A <br />4. Were samp <br />es received intact? (i.e. no broken bottles, leaks etc.) <br />e No <br />5. Were samp <br />e custody seals intact? <br />Yes No 1E/ <br />Sign and date th <br />COC, obtain LIMS sample numbers, select methods/tests <br />and print labels. <br />Sample Verific <br />1. Were all r <br />2. Did bottle <br />3. Were all b <br />4. V OAs chec <br />5. Have rush <br />6. Were all ai <br />Attach labels to <br />Sample Receipt, <br />Discrepancy I <br />Any items abo <br />I. Person C <br />Initiated <br />Problem: <br />2. Person C <br />Initiated <br />Problem: <br />Resolutic <br />tion, Labeling and Distribution: <br />guested analyses understood and acceptable? <br />No <br />ibels correspond with the client's ID's? <br />e No <br />ttles requiring sample preservation properly preserved? <br />Yes NoFGL <br />IException: Oil & Crease, VOA and CM verified in labl <br />9A <br />ced for Headspace? <br />Yes No <br />r project due dates been checked and accepted? <br />No N/A <br />clyses within holding times at time of receipt? <br />No <br />ie containers and include a copy of the COC for lab deliv <br />. ogin and Verification completed by (initials):_��G <br />ry. <br />;umentation: <br />which are "No" or do not meet specifications (i.e. temps) <br />must be resolved. <br />acted: Phone Nuber: <br />. I Date: <br />(Please use the back of this sheet for additions. <br />contacts) <br />(3016608) <br />Live Oak Geo Environmental <br />STK2155603 <br />lv 10/28/2021 16:14:47 <br />Q31111111111111111 M <br />are <br />
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