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WP0042678
Environmental Health - Public
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4300 - Water Well Program
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WP0042678
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Entry Properties
Last modified
7/14/2022 8:18:25 AM
Creation date
6/15/2022 7:45:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042678
PE
4378
STREET_NUMBER
13600
Direction
E
STREET_NAME
VAN MAR
STREET_TYPE
LN
City
GALT
Zip
95632-
APN
02102027
ENTERED_DATE
10/19/2021 12:00:00 AM
SITE_LOCATION
13600 E VAN MAR LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- tory Condition Upon Receipt (Attach to COC) ARJ 5&9g <br /> Sample Receipt a STK CC t CH VI <br /> 1. Number of is ages 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 >I-0'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 ef o <br /> 5. VOAs checked for Headspace? Yes N <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler nameNo <br /> Sign and date the COC,place in a ziplock and put irtAbe same ice ch t-as t ramples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: tt <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: S'S(o�Mj -/'SS <br /> ` 317 <br /> 3. Do the number of bottles received agree with the COC? le <br /> 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 /0 <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? No <br /> 3. ' Were all bottles requiring sample preservation properly preserved? t No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab/ <br /> 4. VOAs checked for Headspace? Yes No / <br /> 5. Have rush or project due dates been checked and accepted? Yes No / <br /> 6. Were all analyses within holding times at time of receipt? /Y e 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): MDL <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: <br /> Initiated By: (3017919] <br /> Problem: San Joaquin CountyEHD <br /> Resolution: STU235809 <br /> (Please use the back of this sheet for additional comt cda 04/28/2022 08:27:12 <br /> contacts) III III III[lll�[�fl�[Ill�l[�III VIII <br /> STK2235609 <br />
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