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SR0081792
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4200/4300 - Liquid Waste/Water Well Permits
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SR0081792
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Entry Properties
Last modified
3/16/2020 10:07:23 PM
Creation date
3/16/2020 2:10:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
FileName_PostFix
SSNL
RECORD_ID
SR0081792
PE
2603
FACILITY_NAME
CAIN PROPERTY
STREET_NUMBER
7555
Direction
S
STREET_NAME
COUNTRY
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18514030
ENTERED_DATE
2/25/2020 12:00:00 AM
SITE_LOCATION
7555 S COUNTRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- Vspackages <br /> ory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice threceived: Shipping trr eking# <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? e No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) e No <br /> 5. VOAs checked for Headspace? e No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date,time and sampler name a No <br /> Sign and date the COC, place in a ziplock and put i the same ice chest as Ee 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 6"C. If many packages are re c ived at one time cl eck for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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? Yes No <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? es , No <br /> 2. Did bottle labels correspond with the client's ID's? 11es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ® FGL <br /> )Exception:Oil&Grease,VOA and CrVI verified In lab) <br /> 4. VOAs checked for Headspace? e No N/A <br /> 5. Have rush or project due dates been checked and accepted? e No WA <br /> 6. Were all analyses within holding times at time of receipt? a No <br /> Attach labels to the containers and include a copy of the COC for I 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: - - <br /> Initiated By: i -lobes <br /> Problem: ! t?n I1^+!t• ('nn �'n�ri rnn+�p�t <br /> Y• t V VMS• VV,V rjj���ViY{IV �VM• <br /> Resolution: <br /> (Please use the back of this sheet for additional commer <br /> contacts) 1 V-11%YJ7 Lel -'1 O;YJi:3iu <br />
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