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WP0041640
EnvironmentalHealth
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HARNEY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041640
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Entry Properties
Last modified
7/20/2022 1:42:15 PM
Creation date
3/16/2022 10:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041640
PE
4366
STREET_NUMBER
5433
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06104027
ENTERED_DATE
1/26/2021 12:00:00 AM
SITE_LOCATION
5433 E HARNEY LN
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:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> . . �,✓� IInter-" ratory Condition Upon Receipt (Attach to COC) p�� <br /> Sample Receipt at: C CH VI <br /> 1. Number of i c ages received: f Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No A <br /> 8. Were all analyses within holding times at time of receipt? a 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 e e ice chest a 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 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: %6W7-706 <br /> `1t(A 3 <br /> 3. Do the number of bottles received agree with the COC? INo N/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 labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? s No <br /> 2. Did bottle labels correspond with the client's ID's? a 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 lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No GNN/1� <br /> 6. Were all analyses within holding times at time of receipt? 2CEP 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): h' DC. <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: Phone Number: <br /> Initiated By: (3017919) <br /> R solution: Sa nJoaquin CountyEND <br /> (Please use the back of this sheet for additional comm• STU235613 <br /> contacts) iv 0412512022 07:23:40 <br /> STK2235613 _ <br />
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