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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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Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 2D0900157_SOP_17.DOC <br />Page: 1 of 1 <br />In -House Condition Upo ceipt (Attach to COC)3`f 7�J <br />CC CH S K VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />3 <br />Were samples received in a chilled condition? Temps: / d <br />4. Surface water (SWTR) bact 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? (l D No N/A <br />6. Verify sample data, time, sampler Yes No <br />7. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />8. Were sample custody seals intact? Yes No G� <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable?es No <br />2. Did bottle labels correspond with the client's ID's? Ye No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No / FGL <br />Exception: Oil & Grease, VOA and CrVI verified in labs <br />4. VOAs checked for Headspace? Yes No <br />5. Were all analyses within holding times at time of receipt?es No <br />6. Have rush or project due dates been checked and accepted? N/A Yxs , 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 />2. <br />Resolution: <br />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 being shipped to FGL-SP <br />
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