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WP0042284
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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15401
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042284
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Entry Properties
Last modified
11/19/2024 4:01:50 PM
Creation date
3/10/2022 4:53:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042284
PE
4370
STREET_NUMBER
15401
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366-
APN
20308018
ENTERED_DATE
7/14/2021 12:00:00 AM
SITE_LOCATION
15401 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditi on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH K VI <br /> 1. Number of ice chests/packages receive Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: T4Z6r ZT^ 7 t <br /> 3. Were samples received on is Yes o Temps: <br /> Surface water SWTR bact samples: a that has a temperature upon receipt of >14°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours.) <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc. Yes o <br /> 6. VOAs checked for Headspace? Y, No <br /> 7. Were all analyses within holding times at time of receipt? --�Ye`s No <br /> 8. Verify sample date,time and sampler name'�es <br /> s- No <br /> Sign and date the COC,place in a ziplock and put i e ame ice chest asm les. <br /> p <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): I U1S-101UPP <br /> 2. Temp IR Gun ID#: <br /> 1� <br /> 3. Were samples received on ice? es p <br /> No Tem s: � /� / / / <br /> Acceptable is above freezing to 6°C. If packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? e No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 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? No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> G. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> Have rush or project due dates been checked and accepted? Y s No <br /> Were all analyses within holding times at time of receipt? a No <br /> ttach labels to the containers and include a copy of the COC for lab delivery. <br /> ample Receipt, Login and Verification completed by (initials): <br /> iscrepancy Documentation: <br /> ny 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 /> Person Contacted: '- <br /> Initiated By: (3017919) <br /> Problem: San Joaquin CounW EHD <br /> Resolution: STK2439348 <br /> cda 06125/202414:34:05 <br /> (Pleq ie use the back of this sheet for additional comments 1111111111111111111111111111M <br /> STK2439348 <br />
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