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WP0042575
EnvironmentalHealth
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4 (STATE ROUTE 4)
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14210
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042575
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Entry Properties
Last modified
11/20/2024 9:09:43 AM
Creation date
8/23/2022 4:50:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042575
PE
4378
STREET_NUMBER
14210
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206-
APN
13112004
ENTERED_DATE
9/20/2021 12:00:00 AM
SITE_LOCATION
14210 W HWY 4
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_17-2.DOC <br /> Revisiop Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Upo eipt (Attach to COC) M✓4 �� <br /> CC C K I 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: ff / <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? No N/A <br /> 6. Verify sample data,time, sampler No <br /> 7. Were samples received intact? (i.e. no broken bottles, leaks e o <br /> 8. Were sample custody seals intact? Yes XCED <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? o <br /> 3. Were all bottles requiring sample preservation properly preserved? YesN FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab[ <br /> 4. VOAs checked for Headspace? Yes N <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? N/A 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 forffl when all containers are staying in the lab and not beim; shipped to FGI.-SP <br />
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