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WP0043072
Environmental Health - Public
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4300 - Water Well Program
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WP0043072
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Last modified
5/2/2022 1:32:04 PM
Creation date
5/2/2022 1:30:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043072
PE
4380
STREET_NUMBER
1033
Direction
E
STREET_NAME
WILLIAMSON
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
24104006
ENTERED_DATE
3/14/2022 12:00:00 AM
SITE_LOCATION
1033 E WILLIAMSON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 2DO900157 SOP 17.DOC <br />Page: 1 of 1 <br />In -House Condition Up Aeceipt (Attach to COC) UJYZY ? <br />CC CH (ATY VI SP <br />Sample Receipt: <br />1. Number of ice chests/packages received: T <br />2 <br />3. <br />Shipper tracking numbers <br />Were samples received in a chilled condition? Temps: / <br />4. Surface water (SWTR) bact 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. <br />o N/A <br />Do the number of bottles received agree with the COC?SYNo <br />6. <br />Verify sample data, time, sampler <br />7. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.)o <br />8. <br />Were sample custody seals intact? <br />Yes <br />No GT <br />Sample Verification, Labeling and Distribution: <br />1. <br />Were all requested analyses understood and acceptable? <br />es <br />No <br />2. <br />Did bottle labels correspond with the client's ID's? <br />Yes <br />o <br />3. <br />Were all bottles requiring sample preservation properly preserved? <br />Yes <br />No � FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in lab] <br />4. <br />VOAs checked for Headspace? <br />Yes <br />No N/ <br />5. <br />Were all analyses within holding times at time of receipt?Yes <br />No <br />6. <br />Have rush or project due dates been checked and accepted? <br />N/A <br />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 and not being* shipped to FGL-SP <br />
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