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WP0042034
Environmental Health - Public
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4300 - Water Well Program
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WP0042034
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Last modified
2/24/2022 1:42:21 PM
Creation date
2/24/2022 1:41:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042034
PE
4370
STREET_NUMBER
30163
Direction
E
STREET_NAME
HALL
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24908010
ENTERED_DATE
5/12/2021 12:00:00 AM
SITE_LOCATION
30163 E HALL AVE
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 Upon Receipt (Attach to COC) <br />CC CH ST 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: N- ( / <br />4. 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? Yes No N/A <br />6. Verify sample data, time, sampler Y No <br />7. Were samples received intact? (i.e. no broken bottles, leaks etc.) <f es No <br />8. Were sample custody seals intact? Yes No CD <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? Yes No <br />2. Did bottle labels correspond with the client's ID's? Yes No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI 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? No <br />',�D6. Have rush or project due dates been checked and accepted? 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 />2. <br />Resolution: <br />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 ,,uid not being shipped to FGL-SP <br />
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