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WP0040076
EnvironmentalHealth
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99 (STATE ROUTE 99)
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22420
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4300 - Water Well Program
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WP0040076
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Entry Properties
Last modified
11/19/2024 1:59:18 PM
Creation date
2/23/2022 12:03:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040076
PE
4366
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
22420 N HWY 99 W FRONTAGE 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: 3DO900002_SOP_12-LDDC <br />Page 1 of 1 <br />Inter- tory Condition Upon Receipt (Attach to COC) ai �x I <br />Sample Receipt at;-1,,-0STK CC CH VI <br />1. Number of ice ages received: L_Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: I �) / / / / <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 a es No <br />5. V OAs checked for Headspace? Yes Nd' - <br />6. Were sample custody seals intact? <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? <br />9. Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put in the sa= ice che; <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: 1{ / oQ, / / / _ <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />SsSCp Is6y ! S <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.) e No <br />5. Were sample custody seals intact? Yes No <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? 'T& No <br />2. Did bottle labels correspond with the client's ID's? es No <br />3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br />lException: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes No ek <br />5. Have rush or project due dates been checked and accepted? Yes No N& <br />6. Were all analyses within holding times at time of receipt? 0e 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 />2. Person Contacted: Phone Number:_ _ -- ---- <br />Initiated By: (3017919) <br />Problem: <br />Resolution: Sao Joaquin County EN <br />Please use the back of this sheet for additional comm STU230464 <br />contacts) iv 0111112022 07:49:48 <br />II I I� 1111111111111111NI11�111� 11 l� <br />
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