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WP0042919
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4300 - Water Well Program
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WP0042919
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Entry Properties
Last modified
10/24/2022 2:35:00 PM
Creation date
7/26/2022 1:54:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042919
PE
4380
STREET_NUMBER
16820
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05112092
ENTERED_DATE
1/19/2022 12:00:00 AM
SITE_LOCATION
16820 N LOCUST TREE RD
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:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L story Condition Upon Receipt-(Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice chess packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: A0 / I / I <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I 0*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.) Ye No <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? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name (9 No <br /> Sign and date the COC,place in a ziplock and put in the 4e 'ce 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: <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: SS 55 4 b3 1 S O coi <br /> 40, 2$Z <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.) No <br /> 5. Were sample custody seals intact? Yes No N/2i <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? No <br /> 2. Did bottle labels correspond with the client's ID's? LYeb No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab) <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? Zii� 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): t <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._ _ J - <br /> -Initiated By: (3017919) <br /> Problem: , San Joaquin CountyEND <br /> Resolution: <br /> (Please use the back of this sheet for additional comp STE239435 <br /> contacts) iv 0710712022 07:58:02 <br /> Ill I�011f11�f��f�llf1�1111I�Ill <br /> STK2239435 <br />
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