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WP0043666
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4300 - Water Well Program
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WP0043666
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Last modified
11/15/2022 2:34:24 PM
Creation date
11/15/2022 2:16:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043666
PE
4370
STREET_NUMBER
3522
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514123
ENTERED_DATE
8/23/2022 12:00:00 AM
SITE_LOCATION
3522 E FOREST LAKE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Upo ceipt (Attach to C0C)v:ZP?J�5/4/ <br /> CC CH KVI SP <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> dZ <br /> 3. Were samples received in a chilled condition? Temps: I I I I <br /> 4. Surface water(SWTR)batt samples: A sample that has a temperature upon receipt of>10°C, <br /> whether iced or not, should be flagged unless the time since sample collection has been less than <br /> two hours. <br /> 5. Do the number of bottles received agree with the COC? No N/A <br /> 6. Verify sample data,time, sampler el No <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks etc.) CYes No <br /> 8. Were sample custody seals intact? Yes No N/A <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? MNo No <br /> 2. Did bottle labels correspond with the client's ID's? <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have rush or project due dates been checked and accepted? N/A Yes No <br /> Include a copy of the COC for lab delivery. (Bacti,Inorganics and Radio) <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy Documentation: (attach additional pages if needed) <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 /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> Attach label with lab number here <br /> Use this finn xvhen all containers ,Ire staring in the lab inid not being shipped to FGL-SP <br />
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