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WP0042302
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4300 - Water Well Program
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WP0042302
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Entry Properties
Last modified
9/13/2022 8:29:16 AM
Creation date
8/1/2022 10:43:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042302
PE
4370
STREET_NUMBER
23925
Direction
S
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
22817011
ENTERED_DATE
7/19/2021 12:00:00 AM
SITE_LOCATION
23925 S HIGHLAND AVE
P_LOCATION
99
P_DISTRICT
005
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- •atory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at• STK C CH VI <br /> 1. Number of i ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: �,ql <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. i5 No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required,was sample split for pH analysis? N <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in the same ice the amples. <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 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> ss7�3 WCT)� / -7 y t <br /> 3. Do the number of bottles received agree with the COC? No N/A <br /> FZ <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes Nom, <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? es No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? G No N/A FGL <br /> [Exception: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? I Ges No <br /> Attach labels to the containers and include a copy of the COC for 1 b 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: (3017919) <br /> Resolution: San Joaquin CountyEND <br /> 2. Person Contacted: <br /> Initiated By: STK2250321 <br /> Problem: ]v 07/22/2022 08:23:59 <br /> Resolution: IIII1l1111111l11lll11111111111�1111l1 <br /> STK2250321 <br /> (Please use the back of this sheet for additional commen <br /> contacts) <br />
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