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COVEGSHNN (2)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COVEGSHNN (2)
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Last modified
3/23/2022 4:03:04 PM
Creation date
3/23/2022 3:55:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COVEGSHNN
PE
2546
STREET_NUMBER
3031
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
14502007
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
3031 NAVY DR
RECEIVED_DATE
1/12/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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McCampbell Analytical, Inc. (w.y> <br />"When Quality Counts" <br />1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />Mtp://www.mccampbell.com / E-mail: main(iPmccampbell.com <br />Sample Receipt Checklist <br />Client Name: Yam North America <br />Project: New Site Pond <br /> <br />Date and Time Received: <br />Date Logged: <br />Received by: <br />Logged by: <br />1/14/2021 14:17 <br />1/14/2021 <br />Nancy Palacios <br />Nancy Palacios WorkOrder N°: 2101638 Matrix: Soil <br />Carrier: Patrick Johnson (MAI Courier) <br /> <br />Chain of Custody (COC) Information <br />No El <br />No E <br />No El <br />No El <br />No El <br />No El <br />No El <br />Chain of custody present? <br />Chain of custody signed when relinquished and received? <br />Chain of custody agrees with sample labels? <br />Sample IDs noted by Client on COC? <br />Date and Time of collection noted by Client on COC? <br />Sampler's name noted on COC? <br />COC agrees with Quote? <br />Custody seals intact on shipping container/cooler? <br />Shipping container/cooler in good condition? <br />Samples in proper containers/bottles? <br />Sample containers intact? <br />Sufficient sample volume for indicated test? <br />Yes tI <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes CI <br />Yes CI <br />Yes <br />Yes <br />Yes <br />Yes <br />No LII <br />No El <br />No El <br />No El <br />No El <br />NA 0 <br />NA 0 <br />Sample Receipt Information <br />Sample Preservation and Hold Time (HT) Information <br />NA El All samples received within holding time? Yes No El <br />Samples Received on Ice? Yes No El <br />(Ice Type: WET ICE <br />Sample/Temp Blank temperature Temp: 2.8°C NA El <br />Water - VOA vials have zero headspace / no bubbles? Yes El No El NA 111 <br />Sample labels checked for correct preservation? Yes No El <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes El No El NA 0 <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.8: s2 525.3: s4; Yes CI No CI NA 0 <br />530: 5.7; 541: <3; 544: <6.5 & 7.5)? <br />Free Chlorine tested and acceptable upon receipt (<0.1mg/L)? Yes C7 No El NA 0 <br />Comments: <br />Page 51 of 51
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