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WP0041483
EnvironmentalHealth
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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
标签
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 2D0900157_SOP_17-1.DOC <br />Page: 1 of 1 <br />In -House Condition U ceipt (Attach to COC) <br />CC C4� VI SP <br />Sample Receipt: / <br />1. Number of ice chests/packages received: <br />2. Shipper tracking numbers <br />3. Were samples received in a chilled condition? TempsA 2 / <br />4. Surface water (SWTR) bact samples: A sample that has a temperature upon receipt of >10°C, <br />whether iced or not, should be flagged unless the time since sample collection has been less than <br />two hours. <br />5. Do the number of bottles received agree with the COC? es No N/A <br />6. Verify sample data, time, sampler No <br />7. Were samples received intact? (i.e. no broken bottles, leaks et . s No <br />8. Were sample custody seals intact? Yes No N/A <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? No <br />3. Were all bottles requiring sample preservation properly preserved? Yes No /A FGL <br />Exception: Oil & Grease, VOA and CrVI verified in lab] <br />4. VOAs checked for Headspace? Y s No <br />5. Were all analyses within holding times at time of receipt? es . No <br />6. Have rush or project due dates been checked and accepted? Yes No <br />Include a copy of the COC for lab delivery. (Bacti, Inorganics and Radio) <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: (attach additional pages if needed) <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 />OA <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Phone Number: <br />Date: <br />Resolution: <br />Attach label with lab number here <br />Use this form when all containers are staying in the lab and not being shipped to FGL-SP <br />
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