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WP0041963
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041963
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Entry Properties
Last modified
12/27/2021 12:50:58 PM
Creation date
7/28/2021 2:15:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041963
PE
4366
STREET_NUMBER
11957
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00740061
ENTERED_DATE
4/23/2021 12:00:00 AM
SITE_LOCATION
11957 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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FGL Environ nental Doc ID: 3D0900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Recept at: TK) <br /> K CC CH VI <br /> 1. Number of ice chests packages received: Shipping tracking # <br /> 2. Were s ples received in a chilled condition? Temps:.;!1.°Z / <br /> Surface w ter SWTR batt 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 then imber of bottles received agree with the COC? s No N/A <br /> 4. Were s pies received intact? (i.e. no broken bottles, leaks etc.) Yes No <br /> 5. VOAs c ecked for Headspace? Yes No <br /> 6. Were sai ple custody seals intact? Yes No <br /> 7. If requirc d, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify s ple date, time and sampler name Yes No <br /> Sign and date e COC, place in a ziplock and put in the ice chest as the samples. <br /> Sample Recei Review completed by (initials): <br /> Sample Recei t at SP: <br /> 1. Were s ples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6G) C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping racking numbers: 0 X43� <br /> 3. Do the nt mber of bottles received agree with the COC? e No N/A <br /> 4. Were s les received intact? (i.e. no broken bottles, leaks etc.) es No <br /> 5. Were s le custody seals intact? Yes No <br /> Sign and date t e COC,obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verifi ation, Labeling and Distribution: <br /> 1. Were all r quested analyses understood and acceptable? No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all ttles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs ch ked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Ye No <br /> 6. Were all a alyses within holding times at time of receipt? No <br /> Attach labels to he containers and include a copy of the COC for lab delivery. <br /> Sample Receipt, Login and Verification completed by (initials): <br /> Discrepancy D cumentation: <br /> Any items abov which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> 1. Person Co tacted: Phone Number: <br /> Initiated B Date: <br /> Problem: <br /> Resolution <br /> 2. Person Co tacted: (3017919) <br /> Initiated B San Joaquin County EHD <br /> Problem: <br /> Resolution: STC138865 <br /> (Please use the b ck of this sheet for additioi apb 01612112'021 15:49:01 here <br /> contacts) MIIQIlr11111111111111M <br /> STK2138M <br />
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