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WP0043280
Environmental Health - Public
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4300 - Water Well Program
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WP0043280
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Last modified
9/30/2022 8:57:31 AM
Creation date
9/8/2022 4:51:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043280
PE
4366
STREET_NUMBER
15446
Direction
N
STREET_NAME
MOORE
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
02717020
ENTERED_DATE
5/9/2022 12:00:00 AM
SITE_LOCATION
15446 N MOORE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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 Upo ceipt (Attach to COC) 2G�54� <br /> CC VI SP <br /> Sa>ppf le:Receipt: <br /> 1. "4" Number of ice chests/packages received: <br /> 2. Shipper tracking.numbers <br /> P3. Were saris les-received in a chilled condition? Temps:/ <br /> 4. S4064.Water(SWTR)batt samples: A sample that has a temperature upon receipt of>I GIC, <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? No N/A <br /> 6. Verify sample data,time, sampler No <br /> 7. Were samples received intact?(i.e. no broken bottles, leaks a. No <br /> 8. Were sample custody seals intact? Yes �N/A <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 /> 4 <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes N FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt? eio � <br /> No <br /> 6. Have rush or project due dates been checked and accepted? es No <br /> Include a copy of the COC for lab delivery. (Bacti, Inorganics an <br /> SampleReceipt, 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 /> Uise this form xvhen all contc-liners arc staying in the lab Enid not being shil.)ped to FGI..-Sl' <br />
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