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WP0040410
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040410
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Entry Properties
Last modified
12/27/2021 11:12:11 AM
Creation date
6/7/2021 3:28:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040410
PE
4366
STREET_NUMBER
28766
Direction
E
STREET_NAME
ORANGE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
24920036
ENTERED_DATE
12/19/2019 12:00:00 AM
SITE_LOCATION
28766 E ORANGE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br />Revision Date: 10/09/14 Page 1 of 1 4 <br />Inter -L ory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: K CC CH VI <br />1. Number of ice c TVspackages received: I --Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: -D q / / / / <br />Surface water SWTR batt samples: A sample that has a temperature upon receipt of >100 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 />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? Ye N <br />8. Were all analyses within holding times at time of receipt? No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in the same ice ches a samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: / -2 <br />Acceptable is above freezing to 60 C. If many packages are rete' d at one time check for tests .T.'s/rushes/ <br />2. Shipping tracking numbers: <br />3. Do the number o4o ele ved agree wit t e COC? No N/A <br />g <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? No <br />2. Did bottle labels correspond with the client's ID's? Yes No <br />3. Were all bottles requiring sample preservation properly preserved es 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 <br />6. Were all analyses within holding times at time of receipt? Yes No <br />Attach labels to the containers and include a copy of the COC o e ' ery. <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. to ps) must be resolved. <br />1. Person Contacted: Phone Number: <br />Initiated By: <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 c <br />contacts) <br />Date: <br />_. .. (3017919) <br />Sari Joaquin Courtly k11U <br />SOON <br />"�oiiiMiiii5:n" <br />
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