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WP0042526
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4300 - Water Well Program
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WP0042526
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Entry Properties
Last modified
6/16/2022 9:30:48 AM
Creation date
6/16/2022 9:07:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042526
PE
4378
STREET_NUMBER
26398
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00520026
ENTERED_DATE
9/9/2021 12:00:00 AM
SITE_LOCATION
26398 N CHEROKEE LN
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.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter -Laboratory Condition Upon Receipt (Attach to COC) 0155 igzl <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice chests/packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: �% ,l / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I0° 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 N <br />6. Were sample custody seals intact? Yes <br />7. If required, was sample split for pH analysis? s No <br />S. Were all analyses within holding times at time of receipt? es No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put i e s e ice ches samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / 9- / 1 <br />Acceptable is above freezing to 6G) C. If mane packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />Uc.03ctoa 1 ( P l oq <br />5s5(�U <br />3. Do the number of bottles received agree with the COC? <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. Were sample custody seals intact? Yes <br />No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved? e <br />No N/A FGL <br />(Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />No <br />6. Were all analyses within holding times at time of receipt? 0 <br />No <br />Attach labels to the containers and include a copy of the COC for I b delivery. <br />CpA__ <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: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional comn <br />contacts) <br />Phone NumhPr- <br />(]011919) <br />$oloon COmdYEHD <br />51K2235421 <br />
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