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WP0045420
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MARIPOSA
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045420
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Entry Properties
Last modified
9/30/2024 9:24:29 AM
Creation date
7/2/2024 3:05:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045420
PE
4378
STREET_NUMBER
20287
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
20515021
ENTERED_DATE
4/5/2024 12:00:00 AM
SITE_LOCATION
20287 E MARIPOSA 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 Conditi on Receipt (Attach to COC)�`'��O?�/a-.%Sample Receipt at: CC CH STK VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: y <br /> 3. Were samples recei ed n ice? Yes )No Temps: <br /> Surface water SWTR ba samples:A sa 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 /> 4. Do the number of bottles received agree with the COC? o N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) O <br /> 6. VOAs checked for Headspace? Yes o (Z/A�) <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the a 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): <br /> 2. Temp IR Gun ID #:Abi - <br /> 3. Were samples received on ice? a 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 /> 1 <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.) f5 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? No <br /> 2. Did bottle labels correspond with the client's ID's? Ye No <br /> 3. Were all bottles requiring sample preservation properly preserved? <�a No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> IS- <br /> 5. Have rush or project due dates been checked and accepted? Ye No <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for lab &livery. <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: f <br /> 2. Person Contacted: (3017919) <br /> Initiated By: can Joaquin Count Problem: V <br /> Resolution: STC452292 <br /> law 081191202417:15:17 <br /> (Please use the back of this sheet for additional commen llllll�ll111�11111�1�1111��1�1 <br /> M2482292 <br />
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