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SR0085874_SSNL
Environmental Health - Public
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SR0085874_SSNL
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Entry Properties
Last modified
11/19/2024 10:19:58 AM
Creation date
10/12/2022 3:43:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085874
PE
2602
FACILITY_ID
FA0007821
FACILITY_NAME
ARCO & AM/PM
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25015018
ENTERED_DATE
10/5/2022 12:00:00 AM
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
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.DOC <br />Page 1 of 1 <br />Inter -Lab tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: TK CC CH VI <br />1. Number of ice ch ckages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /0 9 / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of > 10° 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? <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.)Aes <br />Vw� <br />No <br />5. VOAs checked for Headspace? <br />�Ya <br />No NZA <br />6. Were sample custody seals intact? <br />Yes <br />No <br />EZ <br />7. If required, was sample split for pH analysis? <br />Yes <br />No <br />8. Were all analyses within holding times at time of receipt? <br />Yes <br />No <br />9. Verify sample date, time and sampler name <br />a <br />No <br />Sign and date the COC, place in a ziplock and put in a ice chest <br />as the samples. <br />No <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: 2� <br />Acceptable is above freezing to 6'6' C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: -5)-7 61 X1371 � 30 / <br />s/y <br />3. Do the number of bottles received agree with the COC? p No N/A <br />4. Were samples 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 labe s. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />Vw� <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />�Ya <br />No <br />�-N� <br />3. Were all bottles requiring sample preservation properly preserved? <br />Yes <br />No F G L <br />lEzception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? <br />Yes <br />No (hIZ > <br />5. Have rush or project due dates been checked and accepted? <br />Yes <br />No N/ <br />6. Were all analyses within holding times at time of receipt? <br />Y <br />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): Mx - <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 />M <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comm <br />contacts) <br />(30t6608) <br />Ib¢ Oak Geo EmwaMea0al <br />STU252086 <br />„o����i�ud�oiu <br />
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