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WP0041961
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041961
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Entry Properties
Last modified
12/21/2021 6:40:53 PM
Creation date
12/8/2021 9:55:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041961
PE
4366
STREET_NUMBER
14000
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02104302
ENTERED_DATE
4/23/2021 12:00:00 AM
SITE_LOCATION
14000 E COLLIER 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-Lab atory Condition Upon Receipt (Attach to COC) 1 �'-f ZZ,( <br /> Sample Receipt at: ST cc CH VI <br /> 1. Number of ice c e s7 ackages received: _Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: / / / / <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.) � No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No A <br /> 7. If required, was sample split for pH analysis? Y No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name —I e� No <br /> Sign and date the COC, place in a ziplock and r}, same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> I. Were samples received in a chilled condition? Temps: 3 / <br /> Acceptable is above freezing to 6E C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <br /> 3_ Do the number of bottles received agree with the COC? iwNo <br /> No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) <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 /> I. 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? Y 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? Yes No 0/ <br /> 6. Were all analyses within holding times at time of receipt? a No �v <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 /> Documentation: <br /> Any items above which are "No"or do not meet specifications (i.e. temps) must be resolved. <br /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person.Contacted: Phone rI„m�.ar• <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County EHD <br /> Resolution: <br /> (Please use the back of this sheet for additional coi ST K21 54221 I <br /> contacts) srp 1010412021 16:36:30 —� <br /> STY.2154221 <br />
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