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WP0041474
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041474
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Entry Properties
Last modified
12/27/2021 2:01:45 PM
Creation date
4/26/2021 9:02:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041474
PE
4370
STREET_NUMBER
1131
Direction
W
STREET_NAME
BOWMAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19128003
ENTERED_DATE
11/25/2020 12:00:00 AM
SITE_LOCATION
1131 W BOWMAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 ' <br /> 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> ANEpackages1. Number of ice c received: i Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: q.01 / <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >101 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? 0 V�es No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC, place in a ziplock and�ame ice chest as a 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 6'-' C. if many pac es are received 11 one t g check for testsV.T.'s/ es/ 11 <br /> 2. Shipping tracking numbers: 11 A <br /> 3. Do the number o bottles received agr a with the COC? _, e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <:22� 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? <Ze -� No <br /> 2. Did bottle labels correspond with the client's ID's? e No <br /> 3. Were all bottles requiring sample preservation properly preserved. Yes No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No (ZI�7A_ —J <br /> 5. Have rush or project due dates been checked and accepted? Yes Noj <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 b i <br /> Sample Receipt, Login and Verification completed by (initial <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 a STK2132917 <br /> contacts) <br /> apb 03/02/2021 16:28:36 <br />
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