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WP0042094
Environmental Health - Public
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4300 - Water Well Program
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WP0042094
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Entry Properties
Last modified
7/14/2022 8:17:35 AM
Creation date
6/15/2022 4:39:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042094
PE
4366
STREET_NUMBER
2202
Direction
N
STREET_NAME
BEYER
STREET_TYPE
LN
City
STOCKTON
Zip
95215-
APN
10102257
ENTERED_DATE
5/27/2021 12:00:00 AM
SITE_LOCATION
2202 N BEYER LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice c s packages received: Ship Ing tracking# <br /> 2. Were samples received in a chilled condition? Temps: 4,31 <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 etc.) Yes No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date,time and sampler name Yes o <br /> Sign and date the COC,place in a ziplock and put in the ame ice ches ples. <br /> Sample Receipt Review completed by (initials): �w <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 66) C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> (Exception: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 <br /> 6. Were all analyses within holding times at time of receipt? )9 No <br /> Attach labels to the containers and include a copy of the COC for lab del'very. <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: (3017919) <br /> Initiated By: SanJoaquin CountyERB <br /> Problem: <br /> Resolution: go 37365STn2 <br /> (Please use the back of this sheet for additional cc iv 0512612022 07:48:08 <br /> contacts) 1111�1111111�11111[111�1�L1111111 <br /> STK2237365 <br />
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