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WP0041564
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041564
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Last modified
4/17/2023 11:11:11 AM
Creation date
4/3/2023 2:55:51 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041564
PE
4370
STREET_NUMBER
30331
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
20729072
ENTERED_DATE
12/29/2020 12:00:00 AM
SITE_LOCATION
30331 E LONE TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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N <br /> FGL Environmental Doc ID:2D0900157 SOP 17.DOC <br /> Revision Date: 10/09/14 Page: 1 of 1 <br /> In-House Condition Upo eipt(Attach to COC) <br /> CC CH TK VI SP <br /> Sample Receipt: <br /> 1. Number of ice chests/packages received: <br /> 2. Shipper tracking numbers <br /> 3. Were samples received in a chilled condition? Temps: <br /> 4. Surface waterkSWTR)bact samples:A sample that has a temperature upon receipt of>10°C, <br /> whether iced dr not,should be flagged unless the time since sample collection has been less than <br /> two hours. <br /> 5. Do the numbed'of bottles received agree with the COC? � No N/A <br /> 9 <br /> 6. Verify samplq,data,time,sampler (Y, No <br /> 7. Were samples'received intact?(i.e.no broken bottles,leaks etc.) Yes No <br /> 8. Were sample custody seals intact? Yes No N/ <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? Yes No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No (: FGL <br /> lExceptiaa:Oil&Grease,VOA and CrVI verilled in lab] <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Were all analyses within holding times at time of receipt? Yds No <br /> 6. Have rush or project due dates been checked and accepted? NIA Yes No <br /> Include a copy of the COC for lab delivery.(Bacti,Inorganics and Radio) <br /> Sample Recei�t,Login and Verification completed by(initials): <br /> Discrepancy Documentation: (attach additional pages if needed) <br /> Any items above which are"No"or do not meet specifications(i.e.temps)must be resolved. <br /> 1. Person Contagted: Phone Number: <br /> Initiated By: I Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> Attach label with lab number here <br /> Use this iot'n7 when all containers ai•e staying in the lab and not being shipped to FGL-SP <br />
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