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WP0044074
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044074
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Entry Properties
Last modified
6/17/2024 2:13:33 PM
Creation date
2/12/2024 10:40:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044074
PE
4378
STREET_NUMBER
18948
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
01504046
ENTERED_DATE
11/17/2022 12:00:00 AM
SITE_LOCATION
18948 N DAVIS 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 Condin Receipt (Attach to COC) <br /> ' <br /> Sample Receipt at: CC CH , !!, VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> i <br /> 2. Temp IR Gun ID#: I <br /> 3. Were samples received on is Yes No Temps:I <br /> Surface water SWTR bact sample . ple 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 ho <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 etc. Yes No <br /> 6. VOAs checked for Headspace? Yes N N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in same ice chest as t e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: U �' G�� <br /> 1. Number of ice chests/packages received: _ Shipping tracking#(s):� F7y�U <br /> 2. Temp IR Gun ID#: a�6 <br /> 3. Were samples received on ice? �.e 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? I VEI No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) C 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? Fes <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No / <br /> 5. Have rush or project due dates been checked and accepted? Yes No KA <br /> 6. Were all analyses within holding times at time of receipt? Ce-s 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: (3017919) <br /> Problem: San JoaquinResolution: County END <br /> ST19431495 <br /> (Please use the back of this sheet for additional comments or iv 02/01/2024 07:40:11 <br /> I!III!Il I�IllllifllllllllDl111111II III <br /> STK2431495 <br />
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