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WP0043297
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4300 - Water Well Program
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WP0043297
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Entry Properties
Last modified
10/27/2022 12:59:03 PM
Creation date
10/24/2022 2:31:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043297
PE
4378
STREET_NUMBER
16020
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05310002
ENTERED_DATE
5/13/2022 12:00:00 AM
SITE_LOCATION
16020 E BRANDT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
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 /> Inte - ratory Condition Upon Receipt(Attach to COC)2 <br /> Sample Receipt . STK CC l CH VI <br /> 1. Number of ice cages received: ( Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: (e/F / <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.) es 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? No <br /> 8. Were all analyses within holding times at time of receipt? es 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 e e 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: / 3—/ <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 /> Ss�Ct0a q4c/&� (3010 <br /> 3. Do the number of bottles received agree with the COC? Y s No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) s 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? a No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y 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 N <br /> 6. Were all analyses within holding times at time of receipt? 1e 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): <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: (3017919) <br /> County2. Person Contacted: San Joaquin END <br /> Initiated By: <br /> Problem: STK2254134 <br /> Resolution: <br /> iv 10/04/2022 08:20:26 <br /> NI 11111�I Ill�lllll�llllllllll111l11 111 <br /> (Please use the back of this sheet for additional coi STK2254134 <br /> contacts) <br />
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