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LONE TREE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040802
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Entry Properties
Last modified
7/6/2021 3:04:24 PM
Creation date
6/25/2020 10:19:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040802
PE
4370
STREET_NUMBER
28728
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22912025
ENTERED_DATE
5/11/2020 12:00:00 AM
SITE_LOCATION
28728 E LONE TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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N/A <br />FGL Environmental Doc ID: 3D0900002 _ SOP_ 12-3.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-La tory Condition Upon Receipt (Attach to COC) /366/17:3 <br />Sample Receipt at: jY CC CH VI <br />1. Number of ice chests/packages received: / Shipping tracking # <br />2.7 .3 Were samples received in a chilled condition? Temps: I • / / / / <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 />Do the number of bottles received agree with the COC? 0 No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) GP No <br />VOAs checked for Headspace? No <br />Were sample custody seals intact? Yes No <br />If required, was sample split for pH analysis? Yes No <br />Were all analyses within holding times at time of receipt? No <br />Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in the me ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Were samples received in a chilled condition? Temps: (-9 g Sample Receipt at SP: <br />Acceptable is above freezing to 6U C. If any packages are recth d at one time check for tests/H.T.'s/rushes/ <br /><NO 7P< <br />Shipping tracking numbe <br />Do the ber o b ttles receiv d agree with the C C? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />Were sample custody seals intact? 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 />Were all requested analyses understood and acceptable? No <br />Did bottle labels correspond with the client's ID's? es No <br />Were all bottles requiring sample preservation properly preserved? es No / FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in lab] <br />VOAs checked for Headspace? _e,? No N/A <br />Have rush or project due dates been checked and accepted? Yes No <br />Were all analyses within holding times at time of receipt? 04:4:4 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: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for addit <br />contacts) <br />(3017919) <br />San Joaquin County EN <br />STK2136693 <br />iv 0511212021 16:38:19 <br />!r here
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