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SR0087039_SSNL
Environmental Health - Public
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SR0087039_SSNL
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Entry Properties
Last modified
1/19/2024 10:01:34 AM
Creation date
9/6/2023 4:38:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0087039
PE
2602
STREET_NUMBER
1153
Direction
S
STREET_NAME
GOLDEN GATE
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15713034
ENTERED_DATE
8/7/2023 12:00:00 AM
SITE_LOCATION
1153 S GOLDEN GATE AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laliaratory Condition Upon Receipt (Attach to COC)a33�24 <br /> Sample Receipt at: STPb <br /> CC CH VI <br /> 1. Number of ice the kages received: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps:/J.4 / / / / <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? C90No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? Yes No N/A <br /> 6. Were sample custody seals intact? Yes NoN� <br /> 7. If required, was sample split for pH analysis? Yes No C A� <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC, place in a ziplock and put in th a 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: <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: -7 S 3 971 L`l(c7 <br /> cISI-I <br /> 3. Do the number of bottles received agree with the COC? Yeg No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y-Ds No <br /> 5. Were sample custody seals intact? Yes No (NLk <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? Y" No <br /> 2. Did bottle labels correspond with the client's ID's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No fi/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N/A <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? Ye 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: Phone Number: <br /> Initiated By: — <br /> Problem: (3016608) <br /> Resolution: Live Oak Geo Environmental <br /> (Please use the back of this sheet for additional comm STIU339244 <br /> contacts) iv 07113/2023 07:30:50 <br /> NNIMMENNIMN <br /> STK2339244 <br />
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