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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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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 ceipt (Attach to COC) 9SL500 <br />CC Cf�s�VI SP <br />Sample Receipt: I <br />1. Number of ice chests/packages received: <br />0 <br />5. <br />6. <br />7. <br />8. <br />Shipper tracking numbers <br />Were samples received in a chilled condition? Temps: 315 / <br />Surface water (S WTR) bact samples: A sample that has a temperature upon receipt of >I 01C, <br />whether iced or not, should be flagged unless the time since sample collection has been less than <br />two hours. <br />Do the number of bottles received agree with the COC? <br />Verify sample data, time, sampler <br />Were samples received intact? (i.e. no broken bottles, leaks <br />Were sample custody seals intact? <br />No N/A <br />No <br />No <br />No� <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? Yes No <br />3. Were all bottles requiring sample preservation properly preserved? Yes NoA FGL <br />lException: Oil & Grease, VOA and CrVI verified in labs <br />4. VOAs checked for Headspace? Yes No /A <br />5. Were all analyses within holding times at time of receipt?0io <br />No <br />6. Have rush or project due dates been checked and accepted? Yes No <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and R <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 />Resolution: <br />2. 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 the lab and not bcimy shipped to FGL-SP <br />
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