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WP0042426
Environmental Health - Public
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4300 - Water Well Program
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WP0042426
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Entry Properties
Last modified
5/5/2022 8:46:06 AM
Creation date
5/5/2022 8:42:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042426
PE
4370
STREET_NUMBER
25850
Direction
N
STREET_NAME
SOWLES
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00714011
ENTERED_DATE
8/13/2021 12:00:00 AM
SITE_LOCATION
25850 N SOWLES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inter atory Condition Upon Receipt (Attach to COC) 2Z�7 r <br />Sample Receipt a • STK CC CH VI <br />1. Number of is c s packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: � <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >10'C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />3. Do the number of bottles received agree with the COC?No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks et o <br />5. VOAs checked for Headspace? Yes <br />6. Were sample custody seals intact? Yes '6k <br />7. If required, was sample split for pH analysis? N <br />8. Were all analyses within holding times at time of receipt?No <br />9. Verify sample date, time and sampler name es No <br />Sign and date the COC, place in a ziplock and put in e e ice ches as t e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / 1 / 3 <br />Acceptable is above freezing to 6 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />ssv s 0 3 K09- / 5a I / %3 <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were sample custody seals intact? Yes No >� <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? No <br />2. Did bottle labels correspond with the client's ID's? 64S No <br />3. Were all bottles requiring sample preservation properly preserved? lGe No N/A FGL <br />lException: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Yes No Na <br />6. Were all analyses within holding times at time of receipt? CE�s No <br />Attach labels to the containers and include a copy of the COC for lab delivery. <br />Sample Receipt, Login and Verification completed by (initials):_ <br />Discrepancy Documentation: <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: (3017919) <br />Problem: San Joaquin County EHD <br />Resolution: <br />(Please use the back of this sheet for additional come STV23451 <br />contacts) iv 0410512022 06:06:25 <br />1IH111112231111111[1 <br />
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