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WP0044496
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044496
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Entry Properties
Last modified
1/10/2024 9:39:06 AM
Creation date
12/4/2023 7:52:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044496
PE
4366
STREET_NUMBER
8014
Direction
N
STREET_NAME
ALPINE
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
08906039
ENTERED_DATE
5/8/2023 12:00:00 AM
SITE_LOCATION
8014 N ALPINE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory CondMd:- ( <br /> on Receipt (Attach to COC) A,�59111P <br /> ' <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receivShipping tracking#(s): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice. es o 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 <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks et . Y No <br /> 6. VOAs checked for Headspace? No �N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in a ame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s):c j t Gla? l <br /> 2. Temp IR Gun ID#: 9(oc( <br /> 3. Were samples received on ice? De No Temps:_ <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Ies No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 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? las No <br /> 2. Did bottle labels correspond with the client's ID's? Yvs No <br /> 3. Were all bottles requiring sample preservation properly preserved? )0s No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No N(A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N,�A <br /> 6. Were all analyses within holding times at time of receipt? Ts 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): <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: Date: <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHO <br /> (Please use the back of this sheet for additional comments or co STU357703 <br /> jaw 121281202316:28:02 <br /> �1 I�Il Il Illlli1111i1111�1111111i1 Ill <br /> SYK2357703 <br />
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