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SU0007720
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0007720
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Entry Properties
Last modified
6/27/2024 8:24:32 AM
Creation date
3/18/2022 8:44:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0007720
PE
2605
FACILITY_NAME
PA-0500847
STREET_NUMBER
34443
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25328002
ENTERED_DATE
5/12/2009 12:00:00 AM
SITE_LOCATION
34443 S BIRD RD
RECEIVED_DATE
3/15/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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FGL Environ ental Doc ID: 3DO900002_SOP_12-[.DOC <br /> Revision Date: 0/09/14 Page 1 of 1 <br /> nter-L atory Condition Upon Receipt (Attach to COC) p3-l� <br /> Sample Recei t at: STK CC CH VI <br /> 1. Number f ice ches s packages received: _Shipping tracking# <br /> 2. Were s ples received in a chilled condition? Temps: / / / / <br /> Surface w ter SWTR bact samples: A sample that has a temperature upon receipt of >10°C,whether iced or not, <br /> should be flagge unless the time since sample collection has been less than two hours. <br /> 3. Do the ber of bottles received agree with the COC? No N/A <br /> 4. Were s ples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 5. VOAs c ecked for Headspace? Yes No <br /> 6. Were s ple custody seals intact? Yes No <br /> 7. If requir d, was sample split for pH analysis? No <br /> 8. Were al analyses within holding times at time of receipt? No <br /> 9. Verify s ple date, time and sampler name e No <br /> Sign and date the COC, place in a ziplock and put in the s e ice chest as the samples. <br /> Sample Recei t Review completed by (initials): <br /> Sample Rece pt at SP: <br /> 1. Were sa nples received in a chilled condition? Temps: <br /> Acceptab e is above freezing to 6T C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shippin tracking numbers: <br /> 1140 OU2 <br /> 3. Do the i umber of bottles received agree with the COC? No N/A <br /> 4. Were sa mples received intact? (i.e. no broken bottles, leaks etc.) 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 Veri rication, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? No <br /> 2. Did bot le labels correspond with the client's ID's? e No <br /> 3. Were a bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab[ <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rL sh or project due dates been checked and accepted? Yes No <br /> 6. Were a]I analyses within holding times at time of receipt? Com" No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by (initials):_ <br /> Discrepancy Documentation: <br /> Any items at ove which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiate By: Date: <br /> Problem: <br /> Resolu ion: <br /> 2. Person Contacted: (3-12023) <br /> Initiate By: I,dkrff & SCa1manini Consulting <br /> Problem: <br /> Resoluion: STK2037003 <br /> (Please use a back of this sheet for additional cor IV-05/20/2020-16:14:30 here <br /> contacts) <br />
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