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WP0042883
EnvironmentalHealth
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26 (STATE ROUTE 26)
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4300 - Water Well Program
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WP0042883
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Last modified
11/20/2024 8:50:38 AM
Creation date
4/14/2022 2:48:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042883
PE
4366
STREET_NUMBER
10595
Direction
E
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215-
APN
08910060
ENTERED_DATE
1/6/2022 12:00:00 AM
SITE_LOCATION
10595 E HWY 26
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: 2D0900157_SOP_17-1.DOC <br />Page: 1 of 1 <br />In -House Condition Uceipt (Attach to COC)-UV,'f7� <br />CC CH TK VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />f <br />3. Were samples received in a chilled condition? Temps: lq' / <br />4. Surface water (SWTR) bact samples: A sample that has a temperature upon receipt of>10°C, <br />whether iced or not, should be flagged unless the time since sample collection has been less than <br />two hours. <br />5. Do the number of bottles received agree with the COC? es No N/A <br />6. Verify sample data, time, sampler Yes No <br />7. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br />8. Were sample custody seals intact? Yes No GD <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?es No <br />2. Did bottle labels correspond with the client's ID's? Yes No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No <br />lException: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? Yes No N/ <br />5. Were all analyses within holding times at time of receipt? Yes No <br />6. Have rush or project due dates been checked and accepted? N/A Yes No <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: (attach additional pages if needed) <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 />2 <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Use this form when all containers are staying in t11e lab and not being shipped to FGL-SP <br />FGL <br />
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