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WP0040095
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040095
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Last modified
1/6/2020 2:25:55 PM
Creation date
1/6/2020 2:20:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040095
PE
4380
STREET_NUMBER
13727
STREET_NAME
CASTLE
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
19712080
ENTERED_DATE
9/19/2019 12:00:00 AM
SITE_LOCATION
13727 CASTLE RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Types of Types of CONTAINER - PRESERVATIVE: <br /> Samples Preservatives <br /> KEEP ALL SAMPLES COOL The type of container(s) to be used is listed with the Test <br /> Description on the Chain of Custody. <br /> LIQUIDS BLUE HCIH <_or NH4 CI <br /> p Eg. Oil & Grease, EPA 624 <br /> (DW) Drinking Water YELLOW H2SO4 pH <_2 cont. 32oz.(p)-H2SO4&40ml(av)--HCI <br /> (GW) Ground Water RED HNO3 pH 2 <br /> (MW) Monitoring Well BLACK Monochloroacetic Buffer The numberof containers tofill is specified bya number(s)in <br /> (SW) Surface Water GREEN NaOH pH >_ 12 or the sample Location/Description--Test Description Intersection. <br /> (TB) Travel Blank NaOH +Zinc Acetate <br /> (WW) Waste Water BLACK Na2S203 <br /> (AgW) Ag Water WHITE Other Eg. 11,2 I <br /> This example is read as ONE (1) container of size 32oz. <br /> SOLIDS made of Plastic (p); preserved with H2SO4 plus TWO (2)containers <br /> Types of of size 40ml type amber glass VOA(av) preserved with HCI. <br /> (Oil) Oil Containers <br /> (S) Soil <br /> (SId) Solid COLOR CODING OF PRESERVATIVE LABELS: <br /> (Sig) Sludge (at) Amber Glass TFE-Cap <br /> (av) Amber Glass VOA TFE-Cap All Containers which contain a preservative are marked <br /> (b) Brass Tube with a Color printed Label. The color scheme conforms to industry <br /> TISSUE (g) Glass Jar standards, where applicable, and is provided as a quick reference <br /> (gt) Glass TFE-Cap <br /> (LF) Leaf Tissue for locating the correct container. The appropriate colors for the <br /> (Pet) Petiole Tissue (m) Metal Tube different preservatives can be found to the left under TYPE OF <br /> (Prd) Produce (o) Other PRESERVATIVES. <br /> (Tsu) Tissue (p) Plastic <br /> (s) Bag <br /> (v) Glass VOA TFE-Cap REQUESTED INFORMATION: <br /> BACTI <br /> (Sys) System Conversions The person responsible for sampling must fill out the <br /> (Src) Source Boz. _ half pint _ 1 cup Section pertaining to the sampler. For each sampling event,the date <br /> (W) Waste = = and time of the sampling must be recorded in the space provided. <br /> 32oz. = pint = 2 cups If the sample is a liquid, the potability of the sample should be <br /> 32oz. = quart = 4 cups indicated if the water is for human consumption. If there are any <br /> OTHER 1 L = 1000m1 = 1 quart additions or changes to the test descriptions indicated, please <br /> (AF) Air Filter make the appropriate modifications on this form.The sampler must <br /> (Oth) Other SIGN and DATE the Chain of Custody prior to the samples being <br /> (Swp) Swipe relinquished to the transporter.The FIELD copy should be retained <br /> by a responsible party at the sampling site.The remaining Chain of <br /> Custody must be returned to FGL with the samples. <br />
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