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WP0039608
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039608
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Entry Properties
Last modified
12/27/2021 11:10:44 AM
Creation date
4/14/2021 9:10:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039608
PE
4366
STREET_NUMBER
27545
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
25105024
ENTERED_DATE
5/13/2019 12:00:00 AM
SITE_LOCATION
27545 S LAMMERS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3D0900002_SOP_12-1.DOC <br />Page 1 of 1 <br />Inter- story Condition Upon Receipt (Attach to COC) 3 11�)V <br />Sample Receipt at• STK CC CH VI <br />1. Number of ice packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: y,:7 / / / / <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 />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks e No <br />5. VOAs checked for Headspace? es No <br />6. Were sample custody seals intact? Yes N <br />7. If required, was sample split for pH analysis? Yes No -- <br />S. Were all analyses within holding times at time of receipt? o <br />9. Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put i e ice 'c e e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for ests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />3. Do the number of bottles received agree with the COC? Ts <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were sample custody seals intact? Yes No 1/ <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? es No <br />2. Did bottle labels correspond with the client's ID's? No <br />3. Were all bottles requiring sample preservation properly preserved? 'e No N/A FGL <br />]Exception: Oil & Grease, VOA and CM verified in lab] <br />4. VOAs checked for Headspace? Yes No FA <br />5. Have rush or project due dates been checked and accepted? Yes No <br />6. Were all analyses within holding times at time of receipt? es 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 />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2. Person Contacted: Phone Number: <br />Initiated By: <br />Problem: (3017919) <br />Resolution: San Joaquin County EHD <br />(Please use the back of this sheet for additional com SNIX2132598 <br />contacts) <br />ctc 0212312021 16:20:00 <br />
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