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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
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EHD - Public
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FGL Environmental Doc 1[D: 3DO900002_SOP_12-I.DOC <br />Revision Date: 0/09/14 Page 1 of 1 <br />nter-Lagborptory Condition Upon Receipt (Attach to COC) 4/j`1,507 <br />Sample Recei t at: (gT-lK> CC CH VI <br />1. Number f ice chess packages received: r Shipping tracking # <br />? Were sartinlee received inn chillers condition? Temns: 61,3 <br />/ <br />Surface w ter SWTR batt samples: A sample that has a temperature upon receipt of >10° C, whether iced or not, <br />should be flaggeo unless the time since sample collection has been less than two hours. <br />3. Do the ni imber of bottles received agree with the COC? ezN/A <br />4. Were s pies received intact? (i.e. no broken bottles, leaks etc.) <br />5. VOAs cl ecked for Headspace? Yes No <br />6. Were s pie custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Yes No <br />Sign and date the COC, place in a ziplock and put in the e ice chest as t e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Recei <br />tat SP: <br />1. Were sar <br />iples received in a chilled condition? Temps: <br />Acceptabl <br />is above freezing to 60 C. If many packages are received at one time check Cor tests/H.T.'s/rushes/ <br />2. Shipping <br />tracking numbers: <br />3. Were all <br />1--y SSS <br />3. Do the number <br />of bottles received agree with the COC? s No N/A <br />4. Were s <br />pies received intact? (i.e. no broken bottles, leaks etc.) e ' No <br />5. Were s <br />pie custody seals intact? Yes No N/ <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verifi 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? e <br />No <br />3. Were all <br />ottles requiring sample preservation properly preserved? Yes <br />No (g FGL <br />IException: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked <br />for Headspace? Yes <br />No <br />5. Have rush <br />or project due dates been checked and accepted? Yes <br />No / <br />6. Were all <br />analyses within holding times at time of receipt? Ye <br />No <br />Attach labels tT <br />the containers and include a copy of the COC for 1 delivery. <br />Sample Receipt,Login <br />and Verification completed by (initials): <br />Discrepancy I <br />Any items abo <br />1. Person C <br />Initiated <br />Problem: <br />Resolutic <br />2. Person C n <br />Initiated ) <br />Problem: <br />ResoIuti . <br />:umentation: <br />which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />tatted: Phone Number: <br />Date: <br />(Please use the back of this sheet for additional c1 <br />contacts) <br />Dhnna 1�Tnmhar <br />(3016608) <br />Live Oak Geo Environmental <br />STK2155469i7 <br />�1f 1111111111111111 <br />GTIt2155:09 <br />
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