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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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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: 2D0900157_SOP_17.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Up 'pt (Attach to COC) <br /> CC CH S I 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: <br /> p <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. Do the number of bottles received agree with the COC? Yes No N/A <br /> 6. Verify sample data,time, sampler s No <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks et Ye No <br /> 8. Were sample custody seals intact? Yes No /A <br /> Sample Verification, Labeling and Distribution: <br /> I. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved. Yes No FGL <br /> [Exception:Oil&Grease,VOA and CrV[verified in labs <br /> 4. VOAs checked for Headspace? es No <br /> 5. Were all analyses within holding times at time of receipt? es No <br /> 6. Have rush or project due dates been checked and accepted? NIA � 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 /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> Attach label with lab number here <br /> Use this form NA,-hen all containers tare staving in the lab and not beim; shipped to FGL.-SP <br />
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