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WP0041483
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041483
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Entry Properties
Last modified
12/27/2021 11:37:34 AM
Creation date
9/7/2021 4:09:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041483
PE
4366
STREET_NUMBER
689
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01505059
ENTERED_DATE
12/1/2020 12:00:00 AM
SITE_LOCATION
689 W TURNER 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 />Inte�cc <br />tory Condition Upon Receipt (Attach to COC) �, 1�j1�q <br />Sample Receipt at:ST CH VI <br />1.' Number of is ackages received: _Shipping tracking # <br />2. Were samples received in a chilled condition? Temps:�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 />3. <br />Do the number of bottles received agree with the COC? No N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc. <br />No <br />5. <br />VOAs checked for Headspace? Yes <br />N <br />6. <br />Were sample custody seals intact? Yes <br />No <br />7. <br />If required, was sample split for pH analysis? <br />N <br />8. <br />Were all analyses within holding times at time of receipt? <br />No <br />9. <br />Verify sample date, time and sampler name- <br />No <br />Sign and date the COC, place in a ziplock and put in e i ches as e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. <br />Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. If many packages are received at one time check to testy�H.T.'s/rushes/ <br />V �� <br />2. <br />Shipping tracking numbers: 9yWU0VZ? <br />Iv'? <br />3. <br />Do the number of bottles received agree with the COC? eNo <br />N/A <br />4. <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />No <br />5. <br />Were sample custody seals intact? Yes <br />No CW <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? a <br />No <br />2. Did bottle labels correspond with the client's ID's? es <br />No <br />3. Were all bottles requiring sample preservation properly preserved. es <br />No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? Yes <br />No <br />6. Were all analyses within holding times at time of receipt? e <br />No <br />Attach labels to the containers and include a copy of the COC or b ry. <br />Sample Receipt, Login and Verification completed by (initial <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 co: <br />contacts) <br />(3017919) <br />San Joaquin County EHO <br />STV15149 <br />Iv 08/101202116:33:13 <br />111111�IIIUI��IEN <br />
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