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WP0040688
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040688
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Last modified
7/28/2021 2:23:53 PM
Creation date
7/28/2021 2:18:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040688
PE
4380
STREET_NUMBER
9450
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
STOCKTON
Zip
95210-
APN
08408003
ENTERED_DATE
3/30/2020 12:00:00 AM
SITE_LOCATION
9450 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 3D0900002 SOP 12-2.DOC _ _ <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-L tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt at: CC CH VI <br />Number of ice chests/packages received: I Shipping tracking # <br />Were samples received in a chilled condition? Temps: Z9 -.-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 />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />VOAs checked for Headspace? <br />Were sample custody seals intact? <br />If required, was sample split for pH analysis? <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put in t a e ice chest as t <br />Sample Receipt Review completed by (initials): <br />No N/A <br />No <br />es No <br />Note <br />No CN/A- <br />No <br />No <br />e samples. <br />Yes <br />Sample Receipt at SP: <br />1. Were samples received in a chilled co dition? Temps: / <br />Acceptable is above freezing to 60 C. If mJny packages are receive tone time check for tests/H.T.'s/rushes/ <br />Shipping tracking um es..,5: /1 <br />d'ST 317a- Clie/7 <br />Do the nuibeiof bottles received agree with the COC? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />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 />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? <br />Were all bottles requiring sample preservation properly preserved? <br />[Exception: Oil & Grease, VOA and CrVI verified in lab! <br />VOAs checked for Headspace? Yes No <br />Have rush or project due dates been checked and accepted? No <br />Were all analyses within holding times at time of receipt? No <br />Attach labels to the containers and include a copy of the COC f <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 />Person Contacted: Phone Number: <br />Initiated By: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br /> <br />Phone Niimhpr• <br /> <br />(3017919) <br />San Joaquin County ND <br />STK2131320 <br />apb 05124/2021 16 37:11 <br />Il1IIIIIIII 11111111 IIIL III <br /> <br />Problem: <br />Resolution: <br /> <br />(Please use the back of this sheet for additiol <br />contacts) <br />here <br />No <br />No <br />No N/A FGL <br />Date:
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