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SR0084913_SSNL
Environmental Health - Public
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SR0084913_SSNL
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Entry Properties
Last modified
11/19/2024 1:52:08 PM
Creation date
3/10/2022 12:05:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084913
PE
2602
FACILITY_NAME
4082 S HWY 99 E FRONTAGE RD
STREET_NUMBER
4082
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
APN
17917256
ENTERED_DATE
2/24/2022 12:00:00 AM
SITE_LOCATION
4082 S HWY 99
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -L ory Condition Upon Receipt (Attach to COC)c�%/-579U� <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice cher s packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: J. (/ <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I 0' 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? o N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye o <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Yes, No *uL-� <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Yes o <br />Sign and date the COC, place in a ziplock and put in t e ice chest �as a ampler. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: -3 / ( / —_ /-/- <br />Acceptable is above freezing to 6 : C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />SSSS 4clq B / <br />3. Do the number of bottleg received agree with the COC? 'e� No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e 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 />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />e No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No/ FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? <br />Yes No / <br />5. Have rush or project due dates been checked and accepted? <br />Yes No 1 <br />6. Were all analyses within holding times at time of receipt? <br />) No <br />Attach labels to the containers and include a copy of the COC for lab <br />delivery. <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />- — <br />{3016608} <br />Initiated By: <br />Problem:ive <br />Oak Geo Enuironmmal <br />Resolution: <br />STP157902 <br />(Please use the back of this sheet for additional coma <br />iv 121151202107:16:58 <br />contacts) <br />all�ll�lllfll�lllllllll�lllla� <br />
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