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WP0040866
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4300 - Water Well Program
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WP0040866
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Entry Properties
Last modified
6/7/2021 1:39:10 PM
Creation date
6/7/2021 1:34:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040866
PE
4366
STREET_NUMBER
6610
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00525057
ENTERED_DATE
6/4/2020 12:00:00 AM
SITE_LOCATION
6610 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inter- tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at?STK CC CH VI <br />1. Number of is packages received: Shippptracking # <br />2. Were samples received in a chilled condition? Temps: ,"S1 / <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? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks et . No <br />5. VOAs checked for Headspace? No N/A <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Yes N . <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in tW same ice the amples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: r `� <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. if Inany packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: / l <br />3. Do the numb)r�f bottles receive a ree with the COC? Fes <br />g No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were sample custody seals intact? No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print Labes. <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? Y No <br />(Z�D <br />3. Were all bottles requiring sample preservation properly preserved? Yes No <br />FGL <br />[Exception: Oil & Grease, VOA and CM verified in lab) <br />4. VOAs checked for Headspace? es No <br />N%� <br />5. Have rush or project due dates been checked and accepted? es No <br />' <br />C) <br />6. Were all analyses within holding times at time of receipt? aje-0 No <br />Attach labels to the containers and include a copy of the COC for lab del` <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: San oaquin County EHD <br />Joaquin <br />Initiated By: 'I <br />Problem: STK21357N <br />Resolution: <br />srp 04/27/2021 16:17:46 <br />(Please use the back of this sheet for additions I II II IIII III III VIII I IIIIIII <br />"(57�R <br />STk'JI <br />contacts) <br />,re <br />
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