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WP0044278
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TANGEMAN
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044278
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Entry Properties
Last modified
7/20/2023 5:43:37 PM
Creation date
6/20/2023 8:49:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044278
PE
4378
STREET_NUMBER
2989
STREET_NAME
TANGEMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
ENTERED_DATE
2/15/2023 12:00:00 AM
SITE_LOCATION
2989 TANGEMAN RD
QC Status
Approved
Scanner
SJGOV\sballwahn
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 /> Inter- Condition Upon Receipt Attach to COC 715 <br /> ry P P ) o���� <br /> Sample Receipt a STK C CH VI <br /> 1. Number of is packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 4 / <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 et 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? N_ _ <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name - No <br /> Sign and date the COC,place in a ziplock and put in the a ice the samples. <br /> Sample Receipt Review completed by(initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: I 1 I I <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: 55JL(-72�2 1 <br /> 3. Do the number of bottles received agree with the COC? Ye No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yew No <br /> 5. Were sample custody seals intact? Yes No <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? �XM No <br /> 2. Did bottle labels correspond with the client's ID's? Ve� No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 'N7A' FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? QLes, No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No 4blW <br /> 6. Were all analyses within holding times at time of receipt? YS.p 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): kn,X <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: - — T]atP• — —- — — - — —- — - <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional coma STU336795 <br /> contacts) <br /> cda 051251202316:34:38 <br /> STK23U7" <br />
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