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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514254
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Last modified
5/4/2020 6:01:19 PM
Creation date
4/27/2020 12:24:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0514254
PE
2220
FACILITY_ID
FA0010254
FACILITY_NAME
LIONUDAKIS FIREWOOD
STREET_NUMBER
20451
STREET_NAME
MCHENRY
STREET_TYPE
AVE
City
ESCALON
Zip
95320
APN
24712012
CURRENT_STATUS
01
SITE_LOCATION
20451 MCHENRY AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0514254_20451 MCHENRY_.tif
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EHD - Public
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t 4 ) # 0 <br />GROUND ZERO ANALYSIS, INC. <br />0 <br />Quality Control/Quality Assurance Plan <br />5.2 Chain Of Custody Record And Sample Analysis Request Form <br />A chain of custody record for each container or sample will be used to track possession of the <br />samples from the time they were collected in the field until the time they are analyzed in the <br />laboratory. <br />The chain of custody record will contain the following information: <br />1. Site Name <br />2. Signature of collector <br />3. Date and time of collection <br />4. Sample identification number(s) <br />5. Number of containers in sample set <br />6. Description of sample and container(s) <br />7. Name and signature of persons, and the companies <br />represent, who are involved in the chain of possession <br />8. Inclusive dates and times of possession <br />9. Requested analysis for each sample <br />5.3 Delivery Of Samples To Laboratory <br />or agencies they <br />Samples will be delivered to the laboratory on a daily basis. Samples will be refrigerated to <br />approximately 4°C for shipping. Shipping containers will be sealed with security tape to assure <br />sample integrity during shipping. Delivered samples will be accompanied by a chain of custody <br />record. The laboratory shall note on the chain of custody that samples were properly preserved <br />and security tape was intact upon arrival. <br />All equipment used for drilling and sampling will be decontaminated prior to use. All equipment <br />used for collection of more than one sample, such as bailers and spoons, will be decontaminated <br />between each use to prevent cross contamination between samples. Drilling equipment will be <br />decontaminated prior to commencing drilling at each hole. Well construction materials will be <br />cleaned as necessary, prior to installation. <br />Equipment and well material decontamination will be conducted on an impermeable surface and <br />all decontamination effluent will be contained. All surfaces of the equipment will be thoroughly <br />decontaminated using a steam cleaner. The equipment will be placed on a drying rack for air <br />drying. The decontamination water will be stored in containers certified for hazardous materials <br />storage and disposed of in an approved manner. <br />Sample equipment to be used for organic analysis will be washed in a nonphosphate detergent <br />(Alconox® or equivalent) and rinsed with tap water and deionized water. <br />G:\GROUNDZE\LIONUIDAKIS\WorkPlan\QAQC.doe <br />3 <br />
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