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WP0043602
Environmental Health - Public
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4300 - Water Well Program
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WP0043602
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Entry Properties
Last modified
10/26/2022 3:00:24 PM
Creation date
10/24/2022 2:31:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0043602
PE
4370
STREET_NUMBER
2538
Direction
N
STREET_NAME
PINASCO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08920008
ENTERED_DATE
8/10/2022 12:00:00 AM
SITE_LOCATION
2538 N PINASCO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La atory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice the packages received: r Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: - 0 <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.) s6sNo <br /> 5. VOAs checked for Headspace? Yes No (RFE) <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? SNo No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name <br /> Sign and date the COC, place in a ziplock and pu m t e ame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): M1 <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6U C. If maygy Rackages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 1 <br /> 3. Do the number of bottles received agree with the COC? es No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? es 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? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab[ <br /> 4. VOAs checked for Headspace? Yes No (SO <br /> 5. Have rush or project due dates been checked and accepted? ne <br /> No d�A <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 fo 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: --- - Data -- ---- - <br /> Problem: (3017919) <br /> Resolution: EHD <br /> COURIJ <br /> San J <br /> 2. Person Contacted: ST9254401 <br /> Initiated By: <br /> da01010712022 09:27:31 <br /> Problem: <br /> 11 l I�ll�lllllli�llill��lll�� <br /> Resolution: Il�ll��ll ,440, <br /> STK2_5 <br /> (Please use the back of this sheet for additional c <br /> contacts) <br />
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