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WP0041718
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4300 - Water Well Program
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WP0041718
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Entry Properties
Last modified
10/24/2022 2:36:12 PM
Creation date
9/30/2022 10:23:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041718
PE
4366
STREET_NUMBER
16133
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02702016
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
16133 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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I � <br /> 09/14/2022 <br /> BSK Associates SR-FL-0002-23 <br /> Sample Integrity <br /> l <br /> BSK Bottles: Yes ' o,) Page of <br /> Was temperature within range? Were correct con iners and preservatives <br /> Chemist <_6°C Micro< 8°C Yes No NA received for the tests requested? 'es,: o N <br /> If samples were taken today, is there evidence Bubbles Present VOAs(524.2/T7HM/TCP)? Yes fVQ- N <br /> p Yes No <br /> that chilling has begun? TB Received Check Method Below Yes .No NA <br /> U Did all bottles arrive unbroken and intact? Yes No Was a sufficient amount of sample received? No <br /> UDid all bottle labels agree with COC? _,re s) No Do samples haveja hold time<72 hours? Yes <br /> Was sodium thiosulfate added to CN sample(s) Yes CrWas PM notified bf discrepancies? Yes No N I <br /> until chlorine was no longer present? PM. By/Time <br /> 250m1(A)500m1(©) 1Vter(C)44mlVOA(V) 125ml(D) Checks' Passed? \ <br /> Bacti Na2S203 — — <br /> None(p)While Cap — — <br /> Cr6 (P)LL Green LabeU6lue Cap NH40H(NH4)2SO4 DIN Cl, pH>8 P IF <br /> D Cr6 (P) Pink Label/Blue Cap NH40H(NH4)2SO4 WW pH 9.3-9 7 P F <br /> Cr6 (P) Black Labevaue Cap NH40H(NH4)2SO4 7199 pH 9.0-9.5 P F <br /> c <br /> -24 HOUR HOLD 77ME"' <br /> EHNO3 (P)Redcap or HCl (P) Purple Cap/Lt Blue Lane, — — <br /> H2SO4 (P) or (AG) YeuowCap/Label pH <2 P F <br /> a� NaOH (P)Green cap Cl, pH >10 P F <br /> co NaOH +ZnAc(P) pH>9 P F <br /> Q Dissolved Oxygen 300ml (g) — — <br /> 'p None(AG)608/808118082,625.632/8321.8151.8270 — — <br /> HCI (AG)Lt Blue Labcl O&G.Diesel.TCP — — <br /> m c Ascorbic, EDTA, KH2Ct(AG)Pmk Label 525 — _ — <br /> Na2SO3 250mL (AG)Neon Green Label 515 — — <br /> u <br /> Na2S2031 Liter(Brown P) 549 — — <br /> m .E Na2S203(AG)Blue Label 548 THM.524 <br /> o <br /> Na2S203(CG)Blue Label 504,505.547 — — <br /> `s Na2S203+ MCAA(CG)Orange Label 531 pH <3 P F <br /> NH4CI (AG)Purple Label 552 — — <br /> 2 EDA (P) or (AG) Eimwn Label DB Ps — — <br /> c HCL(CG) 524.2,BTEX,Gas.MTBE,8260/624 — — <br /> E Buffer pH 4 (CG) — — <br /> H3PO4 (CG)Salrnon Label — — <br /> Tnzma–EPA 537.1 - Field Blank Required <br /> Other: <br /> Asbestos 1 L (P)w/ Foil / LL Metals Bottle — — <br /> Bottled Water — — <br /> Clear Glass <br /> Solids: Brass / Steel / Plastic Ba — — <br /> w, Container Preservative Lot# Initials Date/Tiine Preservation Check <br /> CL S P pH Lot# <br /> S P CI Lot# <br /> 'Preservation check completed by lab performing analysis ✓ Indicates Blanks Received <br /> c dW Q(2521„vr h�P (YIo�' cv, inwV14 <br /> d 504 524.2 TTHM_ 537.1 _ TCP <br /> E � <br /> ctz" w — <br /> U ✓ MS/MSD I 6 eceived Method: <br /> V " r' Rush/Short HT Page: Time: <br /> Scanned: g <br /> Page 8 of 9 <br />
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