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WP0039949
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039949
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Entry Properties
Last modified
12/27/2021 1:31:45 PM
Creation date
4/14/2021 10:18:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039949
PE
4370
STREET_NUMBER
19465
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
24538049
ENTERED_DATE
8/13/2019 12:00:00 AM
SITE_LOCATION
19465 S CARROLTON AVE
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of I <br /> Inter- tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at. �STK CC CH VI <br /> 1. Number of ice ackages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 12• / / / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 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? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? Mae <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put inibe same ice rhes as e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temp <br /> Acceptable is above freezing to 60 C. If many packages Vreceivedape timecheck for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers:3. Do the number of bottles received agree with th 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 <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? a No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrV1 verified in labl <br /> 4. VOAs checked for Headspace? Yes No <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 f d t <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: <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County END <br /> Resolution: STK2134147 <br /> (Please use the back of this sheet for additional coma iv 0313012021 15:49:34 <br /> contacts) �I�p�pla{21llal7l{�{II� <br />
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