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WP0043021
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4300 - Water Well Program
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WP0043021
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Entry Properties
Last modified
9/19/2022 4:17:55 PM
Creation date
6/16/2022 9:59:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043021
PE
4378
STREET_NUMBER
29135
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20729040
ENTERED_DATE
2/28/2022 12:00:00 AM
SITE_LOCATION
29135 E LONE TREE 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 /> Inter- tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt a STK C CH VI <br /> 1. Number o i c ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: qlrl / / / I <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >l00 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 e o <br /> 5. VOAs checked for Headspace? es o <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? a No <br /> 9. Verify sample date,time and sampler name ._es No <br /> Sign and date the COC,place in a ziplock and put in e s e ice ches ples. <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 66) C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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.) es No <br /> 5. Were sample custody seals intact? Yes No C9 <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? a No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <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? 9 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: <br /> (3017919) <br /> Initiated By: San Joaquin CountyEHO <br /> Problem: <br /> Resolution: STU236282 <br /> (Please use the back of this sheet for additional iv 05!06!2022(08:20:35 .e�II�I1111111�1aD1U�l�lllal111� <br /> contacts) STK2236282 <br />
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