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WP0040900
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040900
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Entry Properties
Last modified
12/27/2021 11:28:17 AM
Creation date
4/14/2021 9:11:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040900
PE
4366
STREET_NUMBER
10751
Direction
E
STREET_NAME
LIVE OAK
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06319033
ENTERED_DATE
6/19/2020 12:00:00 AM
SITE_LOCATION
10751 E LIVE OAK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-3.DOC <br />Revision Date: 10/09/14 Page 1 of 1 ' <br />X312Inter- rYCondition Upon Receipt Attach to COC) <br />Sample Receipt at: STK CC CH VI <br />1. Number of ice the packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /-/, 7 / / / / <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. Do the number of bottles received agree with the COC? o N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) *�No <br />5. VOAs checked for Headspace? Yes No <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler nameVesamples. <br />No <br />Sign and date the COC, place in a ziplock and put in t e ame ice chest a <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled <br />Acceptable is above freezing to 611 C. If <br />2. Shipping trerof <br />s D <br />3. Do the nuottles received <br />4. <br />conditio .Temps: <br />many pac ages are receive <br />age with the COC` <br />1-/ / 1 /-/- <br />d <br />/_d at one time c ck dor tests/H.T.'s/rushes/ <br />Were samples received intact? (i.e. no broken bottles, leaks etc <br />No N/A <br />e No <br />5. Were sample custody seals intact? es No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe. ' <br />Sample Verification, Labeling and Distribution: <br />I . Were all requested analyses understood and acceptable? No <br />2. Did bottle labels correspond with the client's ID's? e No <br />3. Were all bottles requiring sample preservation properly preserved s No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in lab] <br />4. VOAs checked for Headspace? Yes No / <br />5. Have rush or project due dates been checked and accepted? Yes No 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 ora e <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 />Q <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional c <br />contacts) <br />-- I r 1_ _._. <br />(3017919) <br />San Joaquin County EHD <br />STK2132789 <br />iv 03/01/2021 15:53:19 <br />
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