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WP0041895
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041895
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Entry Properties
Last modified
12/21/2021 6:06:39 PM
Creation date
12/8/2021 9:54:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041895
PE
4366
STREET_NUMBER
5823
STREET_NAME
FAIRLANE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00527015
ENTERED_DATE
4/2/2021 12:00:00 AM
SITE_LOCATION
5823 FAIRLANE 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) <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice c s packages received: L_Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:3, `i / <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.) Ye No <br /> 5. VOAs checked for Headspace? Yes No C� <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? Y No <br /> 9. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC, place in a ziplock andt 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: 3 <br /> Acceptable is above freezing to 6E If many packages are received t one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: S-4/G 277L �,, � � 12 <br /> 3. Do the number of bottles received agree with the CO 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? No / <br /> 6. Were all analyses within holding times at time of receipt? Y 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: (3017919) <br /> Initiated By: <br /> Problem: San Joaquin County EHD <br /> Resolution: STORM <br /> (PIease use the back of this sheet for addition, srp 10/0412021 16:36:41 sere g <br /> contacts) 1111111111 IIIIIIIII VIII 111 <br /> STK2154220 <br />
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