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WP0041603
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041603
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Entry Properties
Last modified
12/21/2021 2:49:03 PM
Creation date
12/8/2021 9:53:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041603
PE
4366
STREET_NUMBER
25753
Direction
N
STREET_NAME
TULLY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02103033
ENTERED_DATE
1/12/2021 12:00:00 AM
SITE_LOCATION
25753 N TULLY 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:3DO900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) 2 T <br /> Sample Receipt at: T CC CH VI <br /> 1. Number of ice c ackages received: Slipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: A'.4 / / / / <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? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) E�Y;e <br /> No <br /> 5. VOAs checked for Headspace? Yes No /A <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 �te <br /> No <br /> Sign and date the COC, place in a ziplock and put in ft same ice chest amples. <br /> Sample Receipt Review completed by (initialg!0 <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 received at pne time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: Ci 2--�G�3 J 12- <br /> -1. <br /> 2- <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.) 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? 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? ) No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? Te No <br /> Attach labels to the containers and include a copy of the COC for lab delivery. <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 END <br /> Resolution: SMIN223 1 <br /> (Please use the back of this sheet for additional con srp 10/04/2021 16:36:21 <br /> contacts) I IIII IIII IIII IIIIIIIIIII IIII <br /> RTk?154223 <br />
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