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WP0042808
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042808
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Entry Properties
Last modified
4/17/2023 11:28:35 AM
Creation date
4/3/2023 2:58:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042808
PE
4366
STREET_NUMBER
301
Direction
S
STREET_NAME
SARA
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
18336068
ENTERED_DATE
12/8/2021 12:00:00 AM
SITE_LOCATION
301 S SARA CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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FGL Environmental Doc ID: 2D0900157_SOP_17.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Upo eipt (Attach to COC) <br /> CC CH STK VI SP <br /> Sample Receipt: • <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> a <br /> 3. Were samples received in a chilled condition? Temps: <br /> 4. Surface water(S WTR) bact samples: A sample that has a temperature upon receipt of>I U°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? SNo <br /> No N/A <br /> 6. Verify sample data,time, sampler <br /> 7. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes No <br /> 8. Were sample custody seals intact? Yes No N/A <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? (j;D No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yes 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): 7a4 <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 form when all containel's are sta),ing IIl the lab incl iiot beiiig shll)ped to FGL-SP <br />
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