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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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March 16, 2021 <br />San Joaquin Co. Environmental Health Dep Lab ID <br />Water Quality Division Customer <br />Attn: Michael Kith <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Laboratory Report <br />STK2132790 <br />3-17919 <br />Introduction: This report package contains total of 5 pages divided into 4 sections: <br />Case Narrative (1 pages) : An overview of the work performed at FGL. <br />Sample Results (2 pages) : Results for each sample submitted. <br />Interpretation (1 page) : Drinking Water Interpretation for each sample submitted. <br />Quality Control (1 page) : Supporting Quality Control (QC) results. <br />Case Narrative <br />This Case Narrative pertains to the following samples: <br />Sampling and Receipt Information: All samples were received in acceptable condition and within <br />temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived <br />at 4.7 °C. All samples were prepared and analyzed within the method specified hold time. All samples <br />were checked for pH if acid or base preservation is required (except for VOAs). For details of sample <br />receipt information, please see the attached Chain of Custody and Condition Upon Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to the following tables: <br />Organic QC <br />Date <br />504 <br />ELAN 1573) <br />504.1 <br />Sample Description <br />Dat <br />FGL Lab Ill # <br />Matrix <br />Sampled <br />R ed <br />Travel Blank <br />03/01/2021 <br />03/01/2021 <br />STK2132790-000 <br />1-13W <br />Wellhead <br />03/01/2021 <br />03/01/2021 <br />STK2132790-001 <br />DW <br />Sampling and Receipt Information: All samples were received in acceptable condition and within <br />temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived <br />at 4.7 °C. All samples were prepared and analyzed within the method specified hold time. All samples <br />were checked for pH if acid or base preservation is required (except for VOAs). For details of sample <br />receipt information, please see the attached Chain of Custody and Condition Upon Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to the following tables: <br />Organic QC <br />Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br />and for completeness, except for any conditions listed above. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br />signature. <br />KD:DMB <br />Reviewed and Digi,eOY signed by Kelly A. Dnnnehw. B.S. <br />Kelly A. Dunnahoo B.S. Til.: Lab -Wm yDi-- <br />Approved By D— 2021-03-16 <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Avenue <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />TEL: (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 <br />Env FAX: (805)525-41721 Ag FAX: (805)392-2063 FAX: (209)942-0423 FAX: (530)343-3807 <br />CA ELAP Certification No. 1573 CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />Page 1 of 5 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810 <br />03/05/2021:202461 All preparation quality controls are within established criteria (performed at FGL-SP <br />504 <br />ELAN 1573) <br />504.1 <br />03/06/2021:203328 All analysis quality controls are within established criteria <br />Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br />and for completeness, except for any conditions listed above. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br />signature. <br />KD:DMB <br />Reviewed and Digi,eOY signed by Kelly A. Dnnnehw. B.S. <br />Kelly A. Dunnahoo B.S. Til.: Lab -Wm yDi-- <br />Approved By D— 2021-03-16 <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Avenue <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />TEL: (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 <br />Env FAX: (805)525-41721 Ag FAX: (805)392-2063 FAX: (209)942-0423 FAX: (530)343-3807 <br />CA ELAP Certification No. 1573 CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />Page 1 of 5 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810 <br />
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