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WP0042174
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4300 - Water Well Program
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WP0042174
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Entry Properties
Last modified
5/5/2022 8:45:46 AM
Creation date
5/5/2022 8:41:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042174
PE
4366
STREET_NUMBER
24363
Direction
N
STREET_NAME
LEADSTONE
STREET_TYPE
DR
City
ACAMPO
Zip
95220-
APN
00536002
ENTERED_DATE
6/21/2021 12:00:00 AM
SITE_LOCATION
24363 N LEADSTONE DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br />Revision Date: 10/09/14 Page: 1 of 1 <br />In -House Condition Up eipt (Attach to COC) ' <br />CC CH T VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2 <br />3 <br />Shipper tracking numbers <br />Were samples received in a chilled condition? Temps: <br />4. Surface water (S WTR) 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? <br />6. Verify sample data, time, sampler <br />7. Were samples received intact? (i.e. no broken bottles, leaks <br />8. Were sample custody seals intact? <br />No N/A <br />No <br />eNo <br />0-e <br />Yes No N/A <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? Yes NFGL <br />Exception: Oil & Grease, VOA and CM verified in labs e�-- <br />4. VOAs checked for Headspace? No xivn <br />5. Were all analyses within holding times at time of receipt? <br />6. Have rush or project due dates been checked and accepted? <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and <br />Sample Receipt, Login and Verification completed by (initial <br />Y No <br />N/A Yes No <br />Radio) <br />s): <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: <br />Problem: <br />Resolution: <br />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Date: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Usc this form \N, -hen all containers are staffing in the lab and not being shipped to 1=G1: -SP <br />
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