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WP0039736
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039736
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Entry Properties
Last modified
8/31/2021 11:19:14 AM
Creation date
8/4/2021 4:33:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039736
PE
4378
STREET_NUMBER
16948
Direction
S
STREET_NAME
LAWRENCE
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22904019
ENTERED_DATE
6/19/2019 12:00:00 AM
SITE_LOCATION
16948 S LAWRENCE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental <br /> <br />Doc ID: 3D0900002 _ _ SOP 12-3.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-L. tory Condition Upon Receipt (Attach to COC) c,/,10/a?,4 <br />Sample Receipt at: STK CC CH VI <br />Number of ice che - .ackages received: ( Shipping tracking # <br />Were samples received in a chilled condition? Temps:/ 0 , 6 i i i 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?d;Wr°•... No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) 41a. No <br />VOAs checked for Headspace? Yes No <br />Were sample custody seals intact? Yes No <br />If required, was sample split for pH analysis? No <br />Were all analyses within holding times at time of receipt? No <br />Verify sample date, time and sampler name 4 No <br />Sign and date the COC, place in a ziplock and put in tJe ame ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Shipping tracking numbers: <br />hirifOrri3crS-TF 05-t-tai oci <br />Do the number of bottles received agree with the COC? No No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) 4.41 No <br />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 />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />VOAs checked for Headspace? Yes No <br />Have rush or project due dates been checked and accepted? s No <br />Were all analyses within holding times at time of receipt? e No <br />Attach labels to the containers and include a copy of the COC for lab,d liv <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 />Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br /> <br />(3017919) <br />San Joaquin County EHD <br />STK2150124 <br />cra 0 7 /19/2021 16:32:24 <br />STK2150 124 <br /> <br />(Please use the back of this sheet for additior <br />contacts) <br />'ere <br /> I•/ - <br />Acceptable is above freezing to 6U C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />No <br />No <br />No N/A FGL
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