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SR0085125_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0085125_SSNL
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Entry Properties
Last modified
4/14/2022 1:37:04 PM
Creation date
4/14/2022 1:32:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085125
PE
2602
STREET_NUMBER
25130
Direction
N
STREET_NAME
PEARL
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00725018
ENTERED_DATE
4/8/2022 12:00:00 AM
SITE_LOCATION
25130 N PEARL RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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No <br />No <br />es No <br />(131eC°? <br />N/A <br />FGL Environmental Doc ID: 300900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-L ry Condition Upon Receipt (Attach to CO <br />Sample Receipt at: JJ CC CH VI <br />Number of ice che s packages received: I Shipping tracking # <br />Were samples received in a chilled condition? Temps: ,..6 / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10°C, w <br />should be flagged unless the time since sample collection has been less than two hours. <br />) 400 3 743 <br /> <br />ether iced or not, <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br />Were sample custody seals intact? <br />If required, was sample split for pH analysis? <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put in t <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />I. Were samples received in a chilled condition? Temps: / I <br />Acceptable is above freezing to 6-to C. If many packages are received at one time check for tests/H.T. <br />2. Shipping tracking numbers: <br />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />Were sample custody seals intact? <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print bels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? Yes <br />[Exception: Oil & Grease, VOA and CrVI verified in lab) <br />VOAs checked for Headspace? <br />Have rush or project due dates been checked and accepted? <br />Were all analyses within holding times at time of receipt? <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 above which are "No" or do not meet specifications (i.e. temps) must be re olved. <br />I. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(3016608) <br />Live Oak Geo Environmental <br />STK2233743 <br />iv mil.:7111421 :57 <br /> <br />(Please use the back of this sheet for addi <br />contacts) <br />er here <br /> <br />No <br />No <br />No <br />No <br />No <br />No <br />e ice chest as the sample <br />Yes <br />N/A <br />s/rushes/ <br />-91/3(fu <br />No <br />No <br />No <br />No <br />No <br />No <br />FGL
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