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SR0085445_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0085445_SSNL
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Entry Properties
Last modified
10/26/2022 8:50:07 AM
Creation date
10/26/2022 7:52:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085445
PE
2602
STREET_NUMBER
19319
Direction
E
STREET_NAME
OAKWOOD
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18506006
ENTERED_DATE
6/23/2022 12:00:00 AM
SITE_LOCATION
19319 E OAKWOOD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12.DOC <br />Page 1 of 1 <br />Inter- story Condition Upon Receipt (Attach to COC) "74 <br />Sample ReceiptSTK CC I CH VI <br />1. Number ofric ages received: ( Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: <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? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks et . No <br />5. VOAs checked for Headspace? Yes o L� <br />6. Were sample custody seals intact? Yes N \ <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name o <br />Sign and date the COC, place in a ziplock and put in eine ice chi samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: u� ��-7gLfuc-p <br />3. Do the number of bottles received agree with the COC? 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 labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? a No <br />2. Did bottle labels correspond with the client's ID's? a No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br />[Exception: Oil & Grease, VOA and CM verified in labs <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No / <br />6. Were all analyses within holding times at time of receipt? gP 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 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 />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />6 <br />co <br />6608) <br />Live Oak iinadd <br />STIU236020 <br />iv 0510312022 <br />)er here <br />(Please use the back of this sheet for addi.—.— <br />contacts) <br />
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