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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 Environmental Doc ID: 3D0900002_SOP_12-1.DOC <br /> Revision Date: H/09/14 Page 1 of 1 <br /> Inter-LaboWory Condition Upon Receipt (Attach to COC) a l384%6 <br /> Sample Receip at: STK' CC CH VI <br /> 1. Number o ice chests/packages received: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps:0'Z / <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of >I 0'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 nu.nber of bottles received agree with the COC? No N/A <br /> 4. Were sam les received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs chocked for Headspace? o N/A <br /> 6. Were s le custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all z nalyses within holding times at time of receipt? Co No <br /> 9. Verify sai iple date, time and sampler name Yes- No <br /> Sign and date fl.e COC, place in a ziplock and put in th e ice chest as the samples. <br /> Sample Receip Review completed by (initials): <br /> Sample Receipt at SP: <br /> I. Were sarr ples received in a chilled condition? Temps: 6� <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/FI.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3. Do the n ber of bottles received agree with the COC? Se <br /> 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 tie COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verifi ation, Labeling and Distribution: <br /> 1. Were all equested analyses understood and acceptable? No <br /> 2. Did bottl labels correspond with the client's ID's? It No <br /> 3. Were all ottles requiring sample preservation properly preserved? Yes No (MV FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab/ <br /> 4. VOAs c eked for Headspace? Cfs) No N/A <br /> 5. Have rus i or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? No <br /> Attach labels to the containers and include a copy of the COC for lab delivi <br /> Sample Receipt, Login and Verification completed by (initials): <br /> DiscrepancyDocumentation: <br /> Any items above which are "No"or do not meet specifications (i.e. temps) must be resolved. <br /> 1. PersonContacted: Phone Number: <br /> Initiated y: Date: <br /> Problem <br /> Resolution: <br /> San <br /> 2. Person ontacted: Jan Joaquin County EHO <br /> Initiated y: <br /> Problem STU138806 <br /> Resolution: <br /> apb 06/21/2021 15:49:07 <br /> (Please use th back of this sheet for addition 0111110111111 ►ere <br /> contacts) STK21NM-- <br />
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