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WP0041895
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041895
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Entry Properties
Last modified
12/21/2021 6:06:39 PM
Creation date
12/8/2021 9:54:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041895
PE
4366
STREET_NUMBER
5823
STREET_NAME
FAIRLANE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00527015
ENTERED_DATE
4/2/2021 12:00:00 AM
SITE_LOCATION
5823 FAIRLANE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_17-1.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Upon Receipt (Attach to COC) <br /> CC CH/-STK-D 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? Temps:3 <br /> 4. Surface water (S WTR) bact samples: A sample that has a temperature upon receipt of>100C, <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? Ye No N/A <br /> 6. Verify sample data, time, sampler Yes No <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 8. Were sample custody seals intact? Yes No A <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? �Y s 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 O/AFGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes No <br /> 6. Have rush or project due dates been checked and accepted? N/ 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 /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <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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