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WP0042131
EnvironmentalHealth
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4300 - Water Well Program
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WP0042131
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Entry Properties
Last modified
2/17/2022 2:41:51 PM
Creation date
2/17/2022 2:33:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042131
PE
4366
STREET_NUMBER
21249
Direction
S
STREET_NAME
MURPHY
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24519024
ENTERED_DATE
6/7/2021 12:00:00 AM
SITE_LOCATION
21249 S MURPHY RD
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: 2D0900157_SOP_17-1.DOC <br />Page: 1 of 1 <br />In -House Condition Upoi ceipt (Attach to COC) <br />CC C TK I SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />3. Were samples received in a chilled condition? Temps: <br />4. Surface water (SWTR) bact samples: A sample that has a temperature upon receipt of>10°C, <br />whether iced or not, should be flagged unless the time since sample collection has been less than <br />two hours. <br />5. Do the number of bottles received agree with the COC?MNo <br />o N/A <br />6. Verify sample data, time, sampler <br />7. Were samples received intact? (i.e. no broken bottles, leaks eto <br />8. Were sample custody seals intact? Yes NN/A <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?e , No <br />2. Did bottle labels correspond with the client's ID's? No <br />3. Were all bottles requiring sample preservation properly preserved? Yes N/A GL <br />[Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? s <br />5. Were all analyses within holding times at time of receipt? Yes <br />6. Have rush or project due dates been checked and accepted?, N/A es No <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and Ra io <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: (attach additional pages if needed) <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 />2. <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Use this form when all containers are staying in the lab and not being shipped to FGL-SP <br />
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