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WP0040663
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040663
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Entry Properties
Last modified
5/5/2022 8:23:15 AM
Creation date
11/12/2021 10:05:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040663
PE
4366
STREET_NUMBER
9501
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00731031
ENTERED_DATE
3/23/2020 12:00:00 AM
SITE_LOCATION
9501 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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FGL Environmental <br />Revision Date: 10/09/14 <br />Doc ID: 3DO900002_SOP_12-3.DOC <br />Page 1 of 1 <br />Inter -La tory Condition Upon Receipt (Attach to COC) <br />335 <br />Sample Receipt atc,.ST 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: 4 o / / / / <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?$es <br />No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. VOAs checked for Headspace? No <br />6. Were sample custody seals intact? Yes No / <br />7. If required, was sample split for pH analysis? Yes No N/ <br />8. Were all analyses within holding times at time of receipt? $te <br />No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock ant in a same ice chest samples. <br />Sample Receipt Review completed by (initia <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 6E C. If many packages are received4otime check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />3. Do the number of bottles received agree with the COC? 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/A <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? <br />No <br />2. Did bottle labels correspond with the client's ID's? <br />No <br />3. Were all bottles requiring sample preservation properly preserved? e <br />No N/A FGL <br />[Exception: Oil & Grease, VOA and CrVI verified in labl <br />4. VOAs checked for Headspace? Yes <br />No <br />5. Have rush or project due dates been checked and accepted? <br />No / <br />6. Were all analyses within holding times at time of receipt? Ye <br />No <br />Attach labels to the containers and include a copy of the COC for lal�-tj,ive . <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 <br />be resolved. <br />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2. Person Contacted: nt,^nP N imhPr: _ <br />Initiated By: (3017919) <br />Problem: San Joaquin County EHO <br />Resolution: <br />(Please use the back of this sheet for additio <br />STIQ153511 here <br />contacts) iv 09/20/2021 16:07:33 <br />III IIIIIIIIIITK21IIIIIIIIIIIIIIIIIIIII <br />
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