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SR0081473
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081473
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Entry Properties
Last modified
3/16/2020 4:52:30 PM
Creation date
3/16/2020 2:02:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
FileName_PostFix
SSNL
RECORD_ID
SR0081473
PE
2602
STREET_NUMBER
11065
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95212
APN
06304023
ENTERED_DATE
11/26/2019 12:00:00 AM
SITE_LOCATION
11065 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> �? McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Quality Counts" http://www.imcampbell.com/E-mail:tnain(a)mccampbell.coin <br /> Sample Receipt Checklist <br /> Client Name: Terracon Date and Time Received: 10/2/2019 12:07 <br /> Project: NA197078;WHITLOW PROPERTY Date Logged: 10/2/2019 <br /> Received by: Tina Perez <br /> WorkOrder N4: 1910073 Matrix: Water Logged by: Tina Perez <br /> Carrier: Chris Breeze(contract courier) <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes ❑J No❑ <br /> Chain of custody signed when relinquished and received? Yes o No❑ <br /> Chain of custody agrees with sample labels? Yes DV No❑ <br /> Sample IDs noted by Client on COC? Yes 0 No❑ <br /> Date and Time of collection noted by Client on COC? Yes 0 No❑ <br /> Sampler's name noted on COC? Yes 0V No❑ <br /> COC agrees with Quote? Yes ❑ No❑ NA <br /> Samole Receipt Information <br /> Custody seals intact on shipping container/cooler? Yes _l No❑ NA❑� <br /> Shipping container/cooler in good condition? Yes No❑ <br /> Samples in proper containers/bottles? Yes © No❑ <br /> Sample containers intact? Yes 1.101 No ❑ <br /> Sufficient sample volume for indicated test? Yes 41 No❑ <br /> Samole Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes LJ No❑ NA❑ <br /> Samples Received on Ice? Yes W No❑ <br /> (Ice Type: WET ICE ) <br /> Sample/Temp Blank temperature Temp: 1.3°C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes No❑J NA❑ <br /> Sample labels checked for correct preservation? Yes d No❑ <br /> pH acceptable upon receipt(Metal:<2, Nitrate 353.2/4500NO3: Yes No❑ NA❑� <br /> <2;522:<4;218.7:>8)? <br /> UCMR Samples: <br /> pH tested and acceptable upon receipt(200.8:52;525.3:54; Yes ❑ No❑ NA <br /> 530:57;541:<3;544:<6.5&7.5)? <br /> Free Chlorine tested and acceptable upon receipt(<O.1 mg/L)? Yes ❑ No❑ NA❑d <br /> Comments: <br /> Page 10 of 10 <br />
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