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WP0042588
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4300 - Water Well Program
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WP0042588
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Entry Properties
Last modified
8/8/2022 4:59:33 PM
Creation date
6/15/2022 4:40:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042588
PE
4378
STREET_NUMBER
25986
Direction
E
STREET_NAME
DOVE
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20720023
ENTERED_DATE
9/27/2021 12:00:00 AM
SITE_LOCATION
25986 E DOVE 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:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- M� <br /> tory Condition Upon Receipt (Attach to COC) Z &6 <br /> Sample Receipt at K CC CH VI <br /> I. Number of i ackages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: ✓' I <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 .-__Yes No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date,time and sampler name Yes� No <br /> Sign and date the COC,place in a ziplock and put in the same i e chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: -27 <br /> SS(01_J U VCoQ0 ( (oq6 y I (n��2 t /670(a, <br /> 3. Do the number of bottles received agree with the COC? (�,es 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 <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? i No <br /> 3. Were all bottles requiring sample preservation properly preserved? le No N/A FGL <br /> IEzception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No >Ld�4T <br /> 5. Have rush or project due dates been checked and accepted? Yes No L0► <br /> 6. Were all analyses within holding times at time of receipt? qIs 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 resolved. <br /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: _ Phone M-1— - - <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County EHD <br /> Resolution: <br /> (PleaseSTC236203 <br /> use the back of this sheet for additional com <br /> contacts) iv 0510512022 08:33:25 <br /> 1��1111111111x110 <br />
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