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WP0040147
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040147
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Entry Properties
Last modified
7/28/2021 2:43:53 PM
Creation date
11/8/2019 1:18:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040147
PE
4370
STREET_NUMBER
5455
Direction
N
STREET_NAME
BOGGIANO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08922007
ENTERED_DATE
10/2/2019 12:00:00 AM
SITE_LOCATION
5455 N BOGGIANO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />rY P P ) <br />Inter -La to Condition Upon Receipt Attach to COC <br />Sample Receipt at: TD CC CH VI <br />1. Number of ice chests/packages received: / Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 44py: / / / / <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. <br />Do the number of bottles received agree with the COC? <br />1. Were all requested analyses understood and acceptable? <br />No N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.)No <br />(t <br />No Pd"/ FGL <br />5. <br />VOAs checked for Headspace? <br />5. Have rush or project due dates been checked and accepted? Yes <br />No N/A <br />6. <br />Were sample custody seals intact? <br />Yes <br />No <br />7. <br />If required, was sample split for pH analysis? <br />Yes <br />No / <br />8. <br />Were all analyses within holding times at time of receipt? <br />No <br />9. <br />Verify sample date, time and sampler name <br />Ye <br />No <br />Sign and date the COC, place in a ziplock and Withe same ice chest <br />as the samples. <br />Sample Receipt Review completed by (initials) <br />Initiated By: <br />Sample Receipt at SP: 2 <br />1. Were samples received in a chilled condition? Temps: J / 3-/ 3 <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 />-?369c-Pq,�el-r, <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. Were sample custody seals intact? Yes No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />5S�UG7 _Y1 <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? <br />No <br />2. Did bottle labels correspond with the client's ID's? s <br />No <br />3. Were all bottles requiring sample preservation properly preserved? Yes <br />No Pd"/ FGL <br />,Exception: Oil & Grease, VOA and CrVI verified in lab] <br />4. VOAs checked for Headspace? <ja <br />No N/A <br />5. Have rush or project due dates been checked and accepted? Yes <br />No (10� <br />6. Were all analyses within holding times at time of receipt? <br />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: San Joaquin Count} <br />Joaquin y EHD <br />Initiated By: <br />Problem: STK2138245 <br />Resolution: apb 06/019/2021 16:31:20 <br />IIII IIII III�IIIIIIIIIIIIII <br />(Please use the back of this sheet for additio._ 5 <br />here <br />I <br />contacts) <br />
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