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WP0041438
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4300 - Water Well Program
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WP0041438
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Entry Properties
Last modified
2/23/2022 12:38:56 PM
Creation date
2/23/2022 12:31:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041438
PE
4366
STREET_NUMBER
27487
Direction
N
STREET_NAME
KENNEFICK
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00521014
ENTERED_DATE
11/12/2020 12:00:00 AM
SITE_LOCATION
27487 N KENNEFICK 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_12-3.DOC <br />Page 1 of 1 <br />Inter -L tory Condition Upon Receipt (Attach to COC) A�,���� <br />Sample Receipt at: CC CH VI <br />1. Number of ice ch�T�K <br />s/packages received: Shipping tracking # � <br />2. Were samples received in a chilled condition? Temps: -6 / / / / <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? e�Noo N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Y No <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 in the a ice chest as t e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6-- C. if many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />Attach labels to the containers and include a copy of the COC for la <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 additional comments or <br />contacts) <br />Phone Number: <br />Date: <br />Attach label with lab number here <br />3. <br />Do the number of bottles received agree with the COC? <br />No N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. <br />Were sample custody seals intact? Yes <br />No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print <br />labels. <br />Sample Verification, Labeling and Distribution: <br />1. <br />Were all requested analyses understood and acceptable? <br />No <br />2. <br />Did bottle labels correspond with the client's ID's? <br />No <br />3. <br />Were all bottles requiring sample preservation properly preserved? Y <br />No N/A FGL <br />4. <br />(Exception: Oil & Grease, VOA and CM verified in labl <br />VOAs checked for Headspace? Yes <br />No <br />5. <br />Have rush or project due dates been checked and accepted? V-Rq <br />No N/ <br />6. <br />Were all analyses within holding times at time of receipt? � <br />No <br />Attach labels to the containers and include a copy of the COC for la <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 additional comments or <br />contacts) <br />Phone Number: <br />Date: <br />Attach label with lab number here <br />
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