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SR0085800_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0085800_SSNL
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Entry Properties
Last modified
9/30/2022 8:29:54 AM
Creation date
9/30/2022 8:23:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085800
PE
2602
STREET_NUMBER
12960
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00727022
ENTERED_DATE
9/20/2022 12:00:00 AM
SITE_LOCATION
12960 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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1534 Willow Pass Road, Pittsburg, CA 94565-1701 <br />McCampbell Analytical, Inc. Toll Free Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />http://www.mccampbel1.coin / E-mail: ma <br />ain ,mccampbell.coin <br />"When Quality Counts <br />Chain <br />Sample Receipt Checklist <br />(COC) Information <br />Client Name: <br />Petralogix Date and Time Received: <br />6/8/2022 18:18 <br />Project: <br />SSS/NLS- 12958/12970 E Jahant Road Date Logged: <br />6/8/2022 <br />Yes <br />Received by: <br />Agustina Venegas <br />WorkOrder Ns: <br />2206567 Matrix: Water Logged by: <br />Valerie Alfaro <br />Carrier: <br />Client Drop -In <br />Yes <br />Chain <br />of CustodY <br />(COC) Information <br />Yes <br />Chain of custody present? <br />Yes <br />J❑ <br />No ❑ <br />Chain of custody signed when relinquished and received? <br />Yes <br />W <br />No ❑ <br />Chain of custody agrees with sample labels? <br />Yes <br />❑d <br />No ❑ <br />Sample IDs noted by Client on COC? <br />Yes <br />0 <br />No ❑ <br />Date and Time of collection noted by Client on COC? <br />Yes <br />❑d <br />No ❑ <br />Sampler's name noted on COC? <br />Yes <br />d❑ <br />No ❑ <br />COC agrees with Quote? <br />Yes <br />❑ <br />No ❑ <br />Custody seals intact on shipping container/cooler? <br />Custody seals intact on sample bottles? <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 />Sample Receipt <br />Information <br />Yes <br />❑ <br />No ❑ <br />Yes <br />❑ <br />No ❑ <br />Yes <br />d❑ <br />No ❑ <br />Yes <br />No ❑ <br />Yes <br />No ❑ <br />Yes <br />❑�/ <br />No ❑ <br />Sample Preservation and Hold Time (HT) Information <br />All samples received within holding time? Yes ❑ No d❑ <br />Samples Received on Ice? Yes 0 No ❑ <br />(Ice Type: WET ICE ) <br />Sample/Temp Blank temperature Temp: 1.6°C <br />ZHS conditional anal ses VOA meets zero headsp ace Yes d❑ No El <br />NA W <br />NA d❑ <br />NA 1 <br />NA El <br />NA ❑ <br />y NA ❑ <br />requirement (VOCs, TPHg/BTEX, RSK)? <br />Sample labels checked for correct preservation? Yes d❑ No ❑ <br />pH acceptable upon receipt (Metal: <2; Nitrate 353.2/4500NO3: Yes ❑ No ❑ NA❑ <br /><2; 522: <4; 218.7: >8)? <br />UCMR Samples: <br />pH tested and acceptable upon receipt (200.7::52; 533: 6 - 8; Yes ❑ No ❑ NA ❑d <br />537.1: 6 - 8)? <br />Free Chlorine tested and acceptable upon receipt (<O.1mg/L) Yes ❑ No ❑ NA d❑ <br />[not applicable to 200.7]? <br />Comments: Method E524.3 (EDB & DBCP) was received past its 14 -day holding time. <br />Page 10 of 10 <br />
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