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WP0042024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4300 - Water Well Program
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WP0042024
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Entry Properties
Last modified
10/26/2022 8:55:21 AM
Creation date
10/5/2022 11:33:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042024
PE
4370
STREET_NUMBER
1481
Direction
W
STREET_NAME
MANILA
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
19127030
ENTERED_DATE
5/11/2021 12:00:00 AM
SITE_LOCATION
1481 W MANILA RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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Tags
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-La tory 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: <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >101 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? No <br /> 9. Verify sample date,time and sampler nam Yes No <br /> Sign and date the COC,place in a ziplock and put in a 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: <br /> Acceptable is above freezing to 6U 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? s No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) s No <br /> 5. Were sample custody seals intact? Yes No QD <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? a No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab] <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? No <br /> Attach labels to the containers and include a copy of the COC for lab delive <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: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> 2. Person Contacted: <br /> Initiated By: STU252817 <br /> Problem: iv 09/09/2022 08:05:08 <br /> Resolution: 111111111111111111111}1111111�I�a1 <br /> STK2252817 <br /> (Please use the back of this sheet for additic here <br /> contacts) <br />
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