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WP0039147
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039147
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Entry Properties
Last modified
12/29/2021 1:59:55 PM
Creation date
12/27/2021 11:00:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039147
PE
4366
STREET_NUMBER
8347
Direction
N
STREET_NAME
SIMI
STREET_TYPE
CT
City
STOCKTON
Zip
95212-
APN
08559004
ENTERED_DATE
12/27/2018 12:00:00 AM
SITE_LOCATION
8347 N SIMI CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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I <br /> FGL Environmental Doc ID:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- ry Condition Upon Receipt (Attach to COC) 21 <br /> 1533 <br /> Sample Receipt at: STrackalges <br /> C CH VI <br /> L Number of is the received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: 5,D / / / / <br /> Surface water SWTR batt 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. Do the number of bottles received agree with the COC? es No I�1/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? Y o <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date, time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6B C. If many packages are received at o e time check for tests/H.T.'s/rush s/ <br /> 2. Shipping tracking numbers: <br /> 3. Do�e��o5fblottlels��recLeived ag ee with the COC? e No /A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes No �N/ <br /> Sign and date the COC,obtain LIMS sample numbers, select methods/tests and print labe <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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N(A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <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? r4es�:, No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: <br /> Initiated By: (3017919) <br /> Problem: y' San Joaquin County EHD <br /> Resolution: <br /> (Please use the back of this sheet for additi <br /> STU131533 r here <br /> contacts) iv 02/03/2021 16:33:22 <br />
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