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WP0041637
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CHERRY GLEN
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4300 - Water Well Program
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WP0041637
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Last modified
6/24/2022 8:48:26 AM
Creation date
6/16/2022 10:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041637
PE
4366
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
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 Upo ceipt (Attach to COC) �a ' 91 <br /> CC CH STK VI SP <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> 3. Were samples received in a chilled condition? Temps: <br /> 4. Surface water(SWTR)batt samples: A sample that has a temperature upon receipt of>10'C, <br /> whether iced or not, should be flagged unless the time since sample collection has been less than <br /> two hours. <br /> 5. Do the number of bottles received agree with the COC? No N/A <br /> 6. Verify sample data, time, samplerNo <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes o <br /> 8. Were sample custody seals intact? Yes No Co <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? �esNo <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 No FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labs <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt? en No <br /> 6. Have rush or project due dates been checked and accepted? �9) Yes No <br /> Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) <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: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> Attach label with lab number here <br /> Use this fond Nvhen all containers arc staviiw. in the lab quid not being shipped to FGl_-SP <br />
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