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WP0042657
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EHD Program Facility Records by Street Name
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4300 - Water Well Program
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WP0042657
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Entry Properties
Last modified
4/1/2022 9:34:19 AM
Creation date
4/1/2022 9:32:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042657
PE
4378
STREET_NUMBER
12436
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06324025
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
12436 E HARNEY LN
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: 3D0900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inter-Labimatory Condition Upon Receipt (Attach to COC) ON 59 yo <br />Sample Receipt • TK CC CH VI <br />1. Number o ackages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 9" A / / / / <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 etc No <br />5. VOAs checked for Headspace? es N <br />6. Were sample custody seals intact? Yes N <br />7. If required, was sample split for pH analysis? s N <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put i e ice hest a samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP:LJ <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. if many packages are received tone time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: dl- <br />, 7� /)--I / 12�jl I . <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.) a 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 label . <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? No <br />3. Were all bottles requiring sample preservation properly preserved?e No N/A FGL <br />IE:ception: Oil & Grease, VOA and CM verified in IabJ <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No / <br />6. Were all analyses within holding times at time of receipt? Ine No <br />Attach labels to the containers and include a copy of the COC for 1 i <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. <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additiona <br />contacts) <br />(3017919) <br />San Joaquin Cou* En <br />STK2232360 <br />IV 02/16/2022 06:46:16 :re <br />�i��oSU221?i.6e <br />
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