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SR0085988
Environmental Health - Public
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SR0085988
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Last modified
11/28/2022 3:21:10 PM
Creation date
11/28/2022 2:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SR0085988
PE
2602
FACILITY_NAME
WOLF PROPERTY
STREET_NUMBER
24363
Direction
N
STREET_NAME
LEADSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220
APN
00536002
ENTERED_DATE
11/3/2022 12:00:00 AM
SITE_LOCATION
24363 N LEADSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- atory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt a . �STK CC 1 CH VI <br /> 1. Number of ice packages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 6 2 1 / / / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I 0'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 etc.)*No <br /> No <br /> 5. VOAs checked for Headspace? N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? �AesNo <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in same ice chest as the samples. <br /> Sample Receipt Review completed by(initials). <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: I / Z / q <br /> Acceptable is above freezing to 6U C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> s5��s�SC�Ga-- / q5O2-- / 3&&7 <br /> 3. Do the number of bottles received agree with the COC? esNo N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) es No <br /> 5. Were sample custody seals intact? es No N/ <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? 'es No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No l�A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <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? Y& 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): rl�� <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 /> I (3016608) ,, I <br /> 2. Person Contacted: live Oak Geo Enuironme Mal <br /> Initiated By: STU253884 <br /> Problem: <br /> Resolution: <br /> iv 0912812022 09:44:12 <br /> (Please use the back of this sheet for additional HQ111118111111#11111 H re <br /> STV2253884 <br /> contacts) <br />
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