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WP0040076
Environmental Health - Public
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4300 - Water Well Program
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WP0040076
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Last modified
11/19/2024 1:59:18 PM
Creation date
2/23/2022 12:03:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0040076
PE
4366
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
9/17/2019 12:00:00 AM
SITE_LOCATION
22420 N HWY 99 W FRONTAGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 2DO900157 SOP 17-1.DOC <br />Revision Date: 10/09/14 Page: 1 of 1 <br />In -House Condition U n eipt (Attach to COC) ,��� <br />CC C TK VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />3. Were samples received in a chilled condition? Temps: 3" �5 / <br />Surface water (S WTR) bact samples: A sample that has a temperature upon receipt of >I O'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?s No N/A <br />6. Verify sample data, time, sampler Yes No <br />7. Were samples received intact? (i.e. no broken bottles, leaks Yes 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? <br />2. Did bottle labels correspond with the client's ID's? <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? Yes <br />5. Were all analyses within holding times at time of receipt? <br />6. Have rush or project due dates been checked and accepted? N/A <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio <br />Sample Receipt, Login and Verification completed by (initials): <br />No <br />No <br />1`�W% <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: <br />Initiated By: <br />Problem: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Use this form when all containers are staying in the lab and not being shipped to FGL-SP <br />
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