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WP0042954
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4300 - Water Well Program
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WP0042954
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Entry Properties
Last modified
4/21/2022 3:34:48 PM
Creation date
4/1/2022 9:33:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042954
PE
4380
STREET_NUMBER
13270
Direction
N
STREET_NAME
GALLAGHER
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06326017
ENTERED_DATE
2/4/2022 12:00:00 AM
SITE_LOCATION
13270 N GALLAGHER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12-LDOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- ory Condition Upon Receipt (Attach to COC) a °23O? I <br /> Sample Receipt a STK C J CH VI <br /> 1. Number of eche ages received: / Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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 eti;4� o <br /> 5. VOAs checked for Headspace? Yes ?N �� <br /> 6. Were sample custody seals intact? Yes 7. If required, was sample split for pH analysis? Yes <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in-the same ice cttetamples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps:. A— <br /> Acceptable is above freezing to 69 C. if many packages ar ecerved 4t one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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. Were sample custody seals intact? Yes No PIA <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labelk.----) <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 /> IException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No N <br /> 5. Have rush or project due dates been checked and accepted? Y No / <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> . <br /> Attach labels to the containers and include a copy of the COC f d ' <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 /> (3017919) <br /> 2. Person Contacted: <br /> Initiated By: San Joaquin County EHD <br /> Problem: STU232361 <br /> Resolution: <br /> 1v 0211612022 06:46:21 <br /> (Please use the back of this sheet for additional QII����I81�aIlOQI0fl0IM e <br /> STKV-32361 <br /> contacts) <br />
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