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WP0040372
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4300 - Water Well Program
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WP0040372
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Entry Properties
Last modified
1/24/2022 4:53:16 PM
Creation date
1/24/2022 4:48:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040372
PE
4366
STREET_NUMBER
4700
Direction
W
STREET_NAME
LOVELY
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25010013
ENTERED_DATE
12/10/2019 12:00:00 AM
SITE_LOCATION
4700 W LOVELY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Inter-Ltory Condition <br />Sample Receipt at: ST CC <br />1. Number of ice chests/packages received: _ <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Upon Receipt (Attach to COC) °?lg 70f4 <br />CH VI <br />Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: a• / / / / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of > iv 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 etc.)�fes <br />No <br />5. VOAs checked for Headspace? No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No N/A <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Yes No <br />Sign and date the COC, place in a ziplock and put tot ame ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / 1 <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/I-I.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />3. Do the number of bottles received agree with the COC? <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a <br />No <br />5. Were sample custody seals intact? Yes <br />No Ps. <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print lab <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?a <br />No <br />2. Did bottle labels correspond with the client's ID's? s <br />No <br />3. Were all bottles requiring sample preservation properly preserved? es <br />No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />6D <br />No <br />No <br />6. Were all analyses within holding times at time of receipt? <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 />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additio <br />contacts) <br />(3017919) <br />San Joaquin County EHD <br />STU137082 <br />iv 0511912021 II16:58::45 <br />II 11111111191111111111 <br />snIY _. <br />here <br />
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