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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 /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice c es s packages received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: t4..6 / / / / <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? Ye No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? es No N/A <br /> 6. Were sample custody seals intact? Yes No A <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 No <br /> Sign and date the COC,place in a ziplock an a, <br /> e same ice chest as the samples. <br /> Sample Receipt Review completed by (initials <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: / / / L <br /> Acceptable is above freezing to 6❑ C. If manyli <br /> p 0 ages are received at one ti a check for tes s/-I.T. s/ <br /> 2. Shipping tracking numbers: N <br /> � /(q73 /�Wl <br /> 3. Do he numbVo2leqsrecZed gree with the COC? o N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 5. Were sample custody seals intact? Yes NoA— ) <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? No <br /> 2. Did bottle labels correspond with the client's ID's? <:!a:�) No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No ! FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? <:::X!!::)No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No TAS <br /> 6. Were all analyses within holding times at time of receipt? I No <br /> Attach labels to the containers and include a copy of the COC o e 'v <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 EHD <br /> Resolution: <br /> STK2132918 <br /> (Please use the back of this sheet for additional col <br /> contacts) apb 0310212021 16:28:43 <br />
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