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WP0043597
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4300 - Water Well Program
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WP0043597
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Entry Properties
Last modified
10/24/2022 2:34:16 PM
Creation date
9/30/2022 8:55:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043597
PE
4380
STREET_NUMBER
22519
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09303071
ENTERED_DATE
8/10/2022 12:00:00 AM
SITE_LOCATION
22519 E COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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-La ory Condition Upon Receipt (Attach to COZqj�0,23 <br /> Sample Receipt at: TK C)CC CH VI <br /> 1. Number of ice ches s 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 >10*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.) (ff3No <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 QN/A <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 a 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: <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: 5-5-7(A93-7 1 30 1 <br /> 5 1 q <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.) QYa No <br /> 5. Were sample custody seals intact? Yes No <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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Ity No N/A FGL <br /> [Exception:Oil&Grease.VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N <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? Ye 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): �AX— <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 /> (3017919) <br /> 2. Person Contacted: San Joaquin County END <br /> Initiated By: <br /> STK2252923 <br /> Problem: <br /> Resolution: iv 08/25/2022 07:51:51 <br /> (Please use the back of this sheet for additional comn IlMllll11111Allll101 <br /> STK22S2e23 <br /> contacts) <br />
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