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WP0039288 (3)
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039288 (3)
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Entry Properties
Last modified
1/3/2022 1:17:58 PM
Creation date
12/27/2021 11:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039288
PE
4366
STREET_NUMBER
8596
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721012
ENTERED_DATE
2/12/2019 12:00:00 AM
SITE_LOCATION
8596 E SOUTH ORCHARD 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 Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 , <br /> Inter-L pry Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: K C CH VI <br /> 1. Number of ice 4=6ages 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 >101 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 N/A <br /> 6. Were sample custody seals intact? es 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? I No <br /> 9. Verify sample date, time and sampler name es._ No <br /> Sign and date the COC, place in a ziplock and put in the same ice the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: —a-- / 1--L1 <br /> / <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: --1 kc <br /> 3. Do the number of bottles received agree with the COC? es) No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) es, No <br /> 5. Were sample custody seals intact? es 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? Pes <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No la FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC for lab de ivery. <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 EHD <br /> Resolution: <br /> (Please use the back of this sheet for additional c STK2131972 <br /> contacts) apb 0210912021 16:24:20 <br />
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