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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:3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- atony Condition Upon Receipt (Attach to COC) <br /> Sample Receipt a • ST CC ` CH VI <br /> 1. Number of ice ests/packages received: ( Shipping tracking# <br /> 1 ,7 <br /> 2. Were samples received in a chilled condition? Temps: pr,3/ <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? g*eso N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks eto <br /> 5. VOAs checked for Headspace? o N/A <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify sample date, time and sampler name o <br /> Sign and date the COC, place in a ziplock and put in tbq same i e c�h*esas e samples. <br /> Sample Receipt Review completed by (initials): 60E-1 <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 recei a at one time check for <br /> tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers:7 P <br /> 3. Do the number 260tt7es received agree wit a COC? es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes 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 labe s. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? 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 /> IException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? <::1�5 No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No !TA� <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 fr b ry. <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 NT,,—I-- <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County EHD <br /> Resolution:( 1vPlease use the back of this sheet for additional con vSIVIII4146 <br /> 03J3013012021 2 15-.49-55 <br /> contacts) <br />
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