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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 <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -L o ry Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: ST CC CH VI <br />1. Number of ice chests/packages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 4, 1 / / / / <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? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.)No <br />S. VOAs checked for Headspace? TNo N/A <br />6. Were sample custody seals intact? Yes No/A <br />7. If required, was sample split for pH analysis? Yes No /A <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name Pesamr <br />No <br />Sign and date the COC, place in a ziplock and put in the e ice chest a�sples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: I <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6 ❑ C. If many packages ar eceived at one time cZeNo <br />T.'s/rushes/ <br />2. Shipping track* h /1 <br />1.V <br />3. Do the numler of bottles received�agree/itheCOC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />S. 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? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />Yes No <br />3. Were all bottles requiring sample preservation properly preserved? <br />Yes No <br />N/A FGL <br />[Exception: Oil & Grease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? <br />es No <br />N/A <br />5. Have rush or project due dates been checked and accepted? <br />Yes No <br />6. Were all analyses within holding times at time of receipt? <br />es No <br />Attach labels to the containers and include a copy of the COC o b 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 />2. Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional cc <br />contacts) <br />(3017919) <br />San Joaquin County END <br />STK2132790 <br />iv 03/01/2021 15:53:25 <br />
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