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WP0043020
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4300 - Water Well Program
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WP0043020
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Entry Properties
Last modified
6/16/2022 9:32:33 AM
Creation date
6/16/2022 9:09:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043020
PE
4378
STREET_NUMBER
5647
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00519028
ENTERED_DATE
2/28/2022 12:00:00 AM
SITE_LOCATION
5647 E JAHANT 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:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> 40 <br /> Inter- ory Condition Upon Receipt (Attach to COQ05 C4"4V3 <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of is packages received: __Shipping tracking # <br /> 916 <br /> 2. Were samples received in a chilled condition? Temps: v,L.- <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 o <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? Yes N <br /> 8. Were all analyses within holding times at time of receipt? , No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in same ice'ch 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: <br /> SSCo(o 3S�U� I ��� Ci?OcCJ <br /> 3. Do the number of bottles received agree with the COC? s No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br /> 5. Were sample custody seals intact? Yes No lok <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? )G No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> IGxception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No 1 <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? 6 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): C12R <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 Number: <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County END <br /> Resolution: R <br /> (Please use the back of this sheet for additional comm 819235428 <br /> contacts) lv 0412012022 07:26:20 <br /> al���nl K2235IIaI�IIQIC�1 <br />
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