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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: 3D0900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' on Receipt (Attach to COQ <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive : I Shipping tracking#(s): <br /> 2. Temp IR Gun ID #:TH319 , <br /> 3. Were samples received on ice. Yes No 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 tw�hh <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. Yes No <br /> 6. VOAs checked for Headspace? Yes N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put ' the same ice c es a samples. <br /> Sample Receipt Review completed by (initials): Li <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: �?A <br /> �R Ca t-1 <br /> 3. Were samples received on ice? YY e No Temps: <br /> Acceptable is above freezing to 6°C. if many packages are received at one time check for tests/H.T.'s/rushes/ <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.) 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? No <br /> 2. Did bottle labels correspond with the client's ID's? s No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> lException: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? Ye No <br /> Attach labels to the containers and include a copy of the COC for lab delive <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: Date: <br /> Problem: (3012023) <br /> Resolution: Luhdorff & Scalmanini Consulting <br /> (Please use the back of this sheet for additional comments or co STU558219 <br /> iv 12/02/2025 07:01:15 <br /> TY,+S—Ie <br />
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