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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 _12-3.DOC <br />Revision Date: 10/09/14 Page 1 of 1 <br />Inter-La'; <br />Receipt at: <br />ttop ory Condition Upon Receipt (Attach to COC) ,-?/3g341 <br />CC CH VI <br />Number of ice chests/packages received: / Shipping tracking # <br />Were samples received in a chilled condition? Temps: rgitZ/ <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? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />VOAs checked for Headspace? Yes No <br />Were sample custody seals intact? Yes No <br />If required, was sample split for pH analysis? No <br />Were all analyses within holding times at time of receipt? No <br />Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and pu in tsame ice chest as the samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Were samples received in a chilled condition? Temps: 3 / -3/ I / <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />Shipping tracking numbers: <br />LicOOS-cri S SaVO (021 S 3C-C140(-1 WI / S—S3La.77 1 I <br />Do the number of 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? g_ No <br />Did bottle labels correspond with the client's ID's? No <br />Were all bottles requiring sample preservation properly preserved? Yes No <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />VOAs checked for Headspace? JTE5I---- No <br />Have rush or project due dates been checked and accepted? Yes No <br />Were all analyses within holding times at time of receipt? e 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 />I. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />FGL <br />N/A <br />2. person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additioi.--___ allbill iii164110131111 00 <br />contacts) <br />(3017919) <br />San Joaquin County EHD <br />STK2138244 <br />here
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