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WP0041043
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4300 - Water Well Program
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WP0041043
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Entry Properties
Last modified
6/7/2021 1:42:06 PM
Creation date
6/7/2021 1:36:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041043
PE
4366
STREET_NUMBER
24169
Direction
N
STREET_NAME
HOMESTEAD
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00740062
ENTERED_DATE
7/30/2020 12:00:00 AM
SITE_LOCATION
24169 N HOMESTEAD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-1.DOC <br />Page 1 of 1 <br />i <br />Inte • ory Condition Upon Receipt (Attach to COC) x7l 5 56 <br />Sample Receipt • STK C CH VI <br />1. Number ofackages received: 1 Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 16,7 / <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, leak __ e No <br />5. VOAs checked for Headspace? Yes <br />6. Were sample custody seals intact? Yes <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? o <br />9. Verify sample date, time and sampler name ___ Yes o <br />Sign and date the COC, place in a ziplock and put in the same4ic e samp <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: 2--1_1_1_1_ <br />Acceptable is above freezing to 66) C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <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 etc.) es No <br />5. Were sample custody seals intact? Yes No N/ <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? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved? <br />No N/A FGL <br />Exception: Oil & Grease, VOA and CM verified in lab] <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />No / <br />6. Were all analyses within holding times at time of receipt? (0 <br />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): <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 />JAI (3017919) <br />2. Person Contacted: <br />Initiated By: San Joaquin County EHD <br />Problem: <br />Resolution: STK2135657 <br />apb 0412612021 16:26:11 <br />r here <br />(Please use the back of this sheet for additi IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />contacts) RTK97 ZS 57 <br />
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