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WP0042352
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042352
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Entry Properties
Last modified
4/25/2024 12:08:54 PM
Creation date
2/16/2023 11:08:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042352
PE
4366
STREET_NUMBER
24184
Direction
S
STREET_NAME
CABE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25015028
ENTERED_DATE
7/28/2021 12:00:00 AM
SITE_LOCATION
24184 S CABE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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i <br /> FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br /> Revision Date 10/09/14 Page: 1 of 1 <br /> In-House Condition U eiRt (Attach to COC) <br /> CC K SP <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: _ <br /> 2. Shipper racking numbers <br /> 3. Were s ples received in a chilled condition? Temps: <br /> 4. Surfacewater(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 i <br /> two ho s. <br /> 5. Do the number of bottles received agree with the COC? No N/A <br /> 6. Verify spiple data,time, sampler No <br /> 7. Were samples received intact?(i.e. no broken bottles, leaks etc. No <br /> 8. Were sainple custody seals intact? Yes No C= <br /> Sample Veri cation,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? WYeeso <br /> 2. Did bolt e labels correspond with the client's ID's? o <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs c ecked for Headspace? Yes No <br /> 5. Were all analyses within holding times at time of receipt? No <br /> 6. Have rush or project due dates been checked and accepted? es 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 /> DiscrepancyDocumentation: (attach additional pages if needed) <br /> Any items abo a which are"No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiated y: Date: <br /> Problem <br /> Resoluti n: <br /> 2. Person C ntacted: Phone Number: <br /> Initiated y: Date: <br /> Problem. <br /> Resoluti n: <br /> Attach label with lab number here <br /> Use this form -hell all colitainers are stun im- ill the lah an(I riot hein�, shipped to FGI.-til' <br />
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