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WP0042669
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MICKE GROVE
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042669
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Entry Properties
Last modified
6/20/2024 9:22:06 AM
Creation date
5/28/2024 4:00:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042669
PE
4378
STREET_NUMBER
10979
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05921045
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
10979 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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 /> O <br /> Inter-Laboratory Condit n Receipt (Attach to COC)°�(4-:1->-1 ZZ <br /> Sample Receipt at: CC CH S K VI y <br /> 1. Number of ice chests/packages receiv Shipping tracking#(s): <br /> 2. Temp IR Gun ID '�C- <br /> 3. Were samples received on ice? Y No Temps:/ <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I0°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours. <br /> 4. Do the number of bottles received agree with the COC? Y No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? e 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 th�,same 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): (o <br /> 1 v 7 ��13 Sod <br /> 2. Temp IR Gun ID #:;t2- <br /> 3. Were samples received on ice? es No Temps. <br /> Acceptable is above freezing to 6°C. If y 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? kgs, No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) XcV 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? QLu. No <br /> 2. Did bottle labels correspond with the client's ID's? VYesi No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ALM FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Wxs/ No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <br /> 6. Were all analyses within holding times at time of receipt? Yes 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): SOL <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: <br /> Resolution: (3017919) <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or conta ST'M"'437122 <br /> iv 05/1712024 07:37:58 <br /> 011111!!I!1l11�l1�lll�l�llll�l�l� <br /> STK2437122 <br />
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