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WP0042485
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042485
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Entry Properties
Last modified
5/2/2023 4:27:41 PM
Creation date
4/3/2023 2:57:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042485
PE
4366
STREET_NUMBER
11320
Direction
E
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95212-
APN
08914026
ENTERED_DATE
8/27/2021 12:00:00 AM
SITE_LOCATION
11320 E EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ch packages received: 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? Y No N/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 No <br /> 7. If required,was sample split for pH analysis? No N/A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the s e ice chest as 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 /> P <br /> Acceptable is above freezing to 6N Q0 <br /> 0 C. many ackages are re eiv �e 'me check for t is/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers. V w 1 <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.) No <br /> 5. Were sample custody seals intact? Yes No /A <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? No <br /> 2. Did bottle labels correspond with the client's ID's? 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 gWR <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? No <br /> Attach labels to the containers and include a copy of the COC fol1v <br /> li ery. <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: -- ny-- --�----- <br /> Initiated By: -- - (3017919)a <br /> NollProblem. a uin <br /> Resolution: S19311644 <br /> San Jo <br /> (Please use the back of this sheet for addition, iv 0210712023 09:24:26 ere <br /> contacts) <br /> I <br /> 1� <br /> STK233t6a4 <br />
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