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WP0041637
Environmental Health - Public
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CHERRY GLEN
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21711
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4300 - Water Well Program
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WP0041637
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Entry Properties
Last modified
6/24/2022 8:48:26 AM
Creation date
6/16/2022 10:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0041637
PE
4366
STREET_NUMBER
21711
STREET_NAME
CHERRY GLEN
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
10529002
ENTERED_DATE
1/25/2021 12:00:00 AM
SITE_LOCATION
21711 CHERRY GLEN CT
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-Ltory Condition Upon Receipt (Attach to COC) �.�� <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ches s packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: Y. a I / I 1 <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of X10°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? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? Y No / <br /> 8. Were all analyses within holding times at time of receipt? - No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in t s re ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps..?(- I 1 I I <br /> Acceptable is above freezing to 60 C. If many ackages are received at one tirQe eckfor tests/H.T.' /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.) C No <br /> 5. Were sample custody seals intact? Yes NoON/A <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print lab <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? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. V OAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No 8N/A <br /> 6. Were all analyses within holding times at time of receipt? Ye No <br /> Attach labels to the containers and include a copy of the COC forb elivery. <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: San JoaquinProblem: County M <br /> Resolution: STK2236702 <br /> (Please use the back of this sheet for additional corn lv 05/11/2022 16:36:01 J <br /> contacts) <br /> -ti236792 <br />
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