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ARCHIVED REPORTS XR0000247
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1604
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3500 - Local Oversight Program
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PR0543431
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ARCHIVED REPORTS XR0000247
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Entry Properties
Last modified
2/5/2019 2:39:28 PM
Creation date
2/5/2019 1:10:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000247
RECORD_ID
PR0543431
PE
3528
FACILITY_ID
FA0003683
FACILITY_NAME
Caltrans-Stockton
STREET_NUMBER
1604
Direction
S
STREET_NAME
B
STREET_TYPE
St
City
Stockton
Zip
95206
APN
171-090-08
CURRENT_STATUS
02
SITE_LOCATION
1604 S B St
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Appendix A <br /> Groundwater Sampling Procedures And Lous <br /> Q Date and time of sample collection <br /> 0 Sample identification numbers and sample depth (if applicable) <br /> o Description of samples (matnx sampled) <br /> 0 Analysis to be performed <br /> 4 Number and volume of samples <br /> Q Description of QA/QC samples (if collected) <br /> Sample methods <br /> Sample handling <br /> o Field observations <br /> o Personnel and equipment present <br /> A.4.2 Sample Chain of Custody (COC) <br /> Dunn-, field sampling activities, traceability of the sample must be maintained from the time the <br /> samples are collected until laboratory data are issued Information on the custody, transfer, <br /> handling, and shipping of samples were recorded on a COC form The COC is a one-page form <br /> with two or three carbonless copies <br /> The sampler was responsible for initiating and filling out the COC form The COC was signed by <br /> the sampler when the sampler relinquishes the samples to anyone else A COC form was <br /> completed for each cooler of samples collected daily, and will contain the following information <br /> 0 Sampler s signature and affiliation <br /> a Project number <br /> o Date and time of collection <br /> O Sample identification number <br /> o Sample type matrix <br /> Q Analyses requested <br /> Number of containers <br /> o Person to contact regarding analyses <br /> o Signature of persons relinquishing custody dates and times <br /> 0 Signature of persons accepting custody dates and tinges (laboratory) <br /> o tilzthod of shipping <br /> The person responsible for delis en of the samples to the analytical laboratory. signed the COC <br /> form retained the last copy of the three-part COC form document the method shipment and sent <br /> the orivinal and the second copy of[lie COC forin ,%ith the sample (taped in a resealable plastic <br /> ba-, to inner cooler lid) Upon receipt at the anal-mcal laboratory the person recen mg the <br /> samples signed the COC fonn and return the SeCL-111d COP% to the LRSGN%'C Project Nlanziger <br /> NCopies of the COC tomes and all cu�tod,, doCUMCIltation are kept in the central tiles The copies <br /> of 11,0 COC fonlis remain «ith the samples until tidal disposition of the samples b% the <br /> laborator, The anaMical laborator% %%ill dispose of the samples M an appropriate manner 00 to <br /> 11S3a1 S14AR'_C'PROJ1S103010004'SYYAROIMAINTYAROSAOCC _\-? URS GrVr;er WdadTivard Clyde <br />
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