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WP0039122
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4300 - Water Well Program
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WP0039122
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Entry Properties
Last modified
3/4/2022 2:33:29 PM
Creation date
3/4/2022 2:32:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0039122
PE
4378
STREET_NUMBER
24725
Direction
E
STREET_NAME
CLOUGH
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24713021
ENTERED_DATE
12/18/2018 12:00:00 AM
SITE_LOCATION
24725 E CLOUGH RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-4.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter -La tory Condition Upon Receipt (Attach to COC) ✓�-') <br />Sample Receipt at: STK 2 CC CH VI ' <br />1. Number of ice chests/packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: toy l / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >101 C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <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 />VOAs checked for Headspace? <br />Yes <br />No <br />6. <br />Were sample custody seals intact? <br />Yes <br />No <br />7. <br />If required, was sample split for pH analysis? <br />Y s <br />No <br />8. Were all analyses within holding times at time of receipt? Yes No <br />9. Verify sample date, time and sampler name e No <br />Sign and date the COC, place in a ziplock and put in the same ice chest as the samples. <br />Sample Receipt Review completed by (initial <br />Sample Receipt at SP: ? � <br />1. Were samples received in a chilled ondition L <br />emps:/Acceptable is above freezing to 6-C. If any packag s received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbe : <br />3. Do t�umbe of bottles received gree with the COC? Y No N/A <br />g ,. <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <5 <br />2Le,,,/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 labe . <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? No <br />2. Did bottle labels correspond with the client's ID's? Y No <br />3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No le <br />6. Were all analyses within holding times at time of receipt?e No <br />Attach labels to the containers and include a copy of the COC for lab deli <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 />Joaquin <br />2. Person Contacted: San oaquin County EHD <br />Initiated By: <br />Problem: STK2236558 <br />Resolution: <br />srp 01113/2022 10:21:35 <br />here <br />(Please use the back of this sheet for additi( <br />contacts) <br />II II IIIIIIIIIIIIIIIIIIIII <br />
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