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WP0042911
EnvironmentalHealth
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4300 - Water Well Program
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WP0042911
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Entry Properties
Last modified
11/19/2024 10:20:03 AM
Creation date
11/15/2022 2:15:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042911
PE
4378
STREET_NUMBER
3566
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304-
APN
23906018
ENTERED_DATE
1/18/2022 12:00:00 AM
SITE_LOCATION
3566 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L9v- <br /> 1. <br /> ory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI ` <br /> Number of ice chests/pacages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: A 8 / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I 01 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? 6�No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes' 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 N/ <br /> 8. Were all analyses within holding times at time of receipt? Y No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in t ame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: q <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6U C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> SYTO-)IT0N � L{34?-� �-s r <br /> 3. Do the number of bottles received agree with the COC? YEs No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) des 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? Y@ No <br /> 2. Did bottle labels correspond with the client's ID's? Y6 No C,PP <br /> 3. Were all bottles requiring sample preservation properly preserved? Ns No T% FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labJ <br /> 4. VOAs checked for Headspace? Yes No MIA <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? -xG 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 /> 2. Person Contacted: 1 <br /> San Joaquin County EHO <br /> Initiated By: <br /> Problem: STU255445 <br /> Resolution: iv 10/27/2022 08:16:10 <br /> �II�Illllllllllllllllllllllllll�ll� <br /> (Please use the back of this sheet for additional col SYK2`M445 <br /> contacts) <br />
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