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WP0042269
Environmental Health - Public
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4300 - Water Well Program
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WP0042269
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Entry Properties
Last modified
6/16/2022 9:30:25 AM
Creation date
6/16/2022 9:05:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042269
PE
4378
STREET_NUMBER
24685
Direction
N
STREET_NAME
FUHRMAN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104635
ENTERED_DATE
7/12/2021 12:00:00 AM
SITE_LOCATION
24685 N FUHRMAN 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: 3D0900002_SOP_12.DOC <br />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 i ages received: _Ship in tracking # <br />2. Were samples received in a chilled condition? Temps: <br />Surface <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.- No <br />5. VOAs checked for Headspace?0 es N <br />6. Were sample custody seals intact? Yes N <br />7. If required, was sample split for pH analysis? Yes No _ <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put i the e i the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1 . Were samples received in a chilled condition? Temps: ( <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: <br />SS G G 3s49- I b" 1 bog6. <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.) �je No <br />5. Were sample custody seals intact? Yes No ©A <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? te No N/A FGL <br />(Exception: Oil & Grease, VOA and CM 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? v2 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 Nil ----- <br />Initiated By: (3017919) <br />Problem: San Joaquin County END <br />Resolution: ` <br />(Please use the back of this sheet for additional iv 0412012022 <br />2 07:i <br />comn 19235426 <br />contacts) 1lI{VI4 <br />�II�l1� STy,ZZ'3'5426II1� l` ILII <br />
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