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WP0042898
EnvironmentalHealth
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4300 - Water Well Program
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WP0042898
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Entry Properties
Last modified
4/1/2022 9:34:40 AM
Creation date
4/1/2022 9:33:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042898
PE
4380
STREET_NUMBER
11136
Direction
E
STREET_NAME
FAIRCHILD
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08911023
ENTERED_DATE
1/12/2022 12:00:00 AM
SITE_LOCATION
11136 E FAIRCHILD 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�12-3.DOC <br />Page 1 of 1 <br />Inter- ry Condition Upon Receipt (Attach to CO <br />Sample Receipt a STK C CH VI <br />1. Number of is packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition. Temps: 17i <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10° C, wt <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 <br />4. Were samples received intact? (i.e. no broken bottles, le o <br />5. VOAs checked for Headspace? Yes <br />6. Were sample custody seals intact? Yes <br />7. If required, was sample split for pH analysis? <br />8. Were all analyses within holding times at time of receipt? es o <br />9. Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put ' t s e ice a sample; <br />Sample Receipt Review completed by (initials): ZW <br />Sample Receipt at SP: U 1,3 <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. <br />2. Shipping tracking numbers: I' I�Qv /dLO(611�1 ��--j3► <br />3. Do the number of bottles received agree with the COC? No <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) & 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 <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?a No <br />2. Did bottle labels correspond with the client's ID's? a No <br />3. Were all bottles requiring sample preservation properly preserved? es No <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 <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 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 <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 addi <br />contacts) <br />(3017919) <br />San Joaquin County EHO <br />STP232244 <br />iv 0211512022 13:35:11 <br />VI�O��I�1601!@101D1alI� <br />STK22122N <br />iced or not, <br />N/A <br />N/A <br />N/A FGL <br />* <br />EW <br />er here <br />
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