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WP0041165
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4300 - Water Well Program
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WP0041165
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Entry Properties
Last modified
6/30/2022 4:28:12 PM
Creation date
6/30/2022 4:25:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041165
PE
4366
STREET_NUMBER
12445
Direction
N
STREET_NAME
CURRY
STREET_TYPE
AVE
City
LODI
Zip
95240-
APN
06114083
ENTERED_DATE
8/27/2020 12:00:00 AM
SITE_LOCATION
12445 N CURRY AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-Ltory Condition Upon Receipt (Attach to COC)��� <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice ches packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >101 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 ^o <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? Y No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Yes No <br />Sign and date the COC, place in a ziplock and put in the ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / P,/ <br />Acceptable is above freezing to 6 ❑ C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />G 5( 50_W- 64�/ 0&0-10 <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.) 9s No <br />5. Were sample custody seals intact? YeR No 0/ <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?ge' <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? <br />No N/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in lab[ <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? Q <br />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 />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional come <br />contacts) <br />Phone Number: <br />,-,-- <br />imnmm <br />Sao Joaquin County Hlo <br />STU234796 <br />"iiiii����R <br />A <br />
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