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SU0005871
Environmental Health - Public
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SU0005871
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Entry Properties
Last modified
8/5/2026 3:12:15 PM
Creation date
10/27/2025 3:44:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
File Section
RECORDED DOCUMENTS
RECORD_ID
SU0005871
STREET_NUMBER
34443
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
APN
25328002
CURRENT_STATUS
In Review
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
34443 S BIRD RD
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002 SOP MDOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit i on Receipt (Attach to COC)d-l-37-5LI <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID // f <br /> 3. Were samples ceiv d on ice? ;es.1 o Temps.6 <br /> Surface water S act samples:A sa 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 /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Cles No <br /> 6. VOAs checked for Headspace? Yes No /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name e No <br /> Sign and date the COC,place in a ziplock and put in th e ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 56b-7 <br /> 2. Temp IR Gun ID#: T14 If-"? <br /> 3. Were samples received on ice? 9No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/FT.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? QYew No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yog 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? V-ev No <br /> 2. Did bottle labels correspond with the client's ID's? Vei No <br /> 3. Were all bottles requiring sample preservation properly preserved? Xcs,/ No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No NJ-& <br /> 5. Have rush or project due dates been checked and accepted? Yes No &N <br /> 6. Were all analyses within holding times at time of receipt? es 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): }At <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: Date: <br /> Problem: <br /> Resolution: (3012023) <br /> Luhdor#& Scalmanini Consuhing <br /> (Please use the back of this sheet for additional comments or cone STU437367 <br /> jaw 051211202417:10:17 <br /> 1111111111111111 <br />
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