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WP0042599
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042599
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Entry Properties
Last modified
5/2/2023 4:27:43 PM
Creation date
3/16/2022 10:36:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042599
PE
4366
STREET_NUMBER
25280
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540003
ENTERED_DATE
9/29/2021 12:00:00 AM
SITE_LOCATION
25280 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L ory Condition Upon Receipt (Attach to C0Qa?,,3W0( <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice ches packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 9 <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I0°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 <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No / <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in th 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: I I I I <br /> Acceptable is above freezing to 60 C. If many packages are received at one time check for testsM.T.'s/rushes/ <br /> 2. Shipping tracking numbers: S SY 115 1-7 Ll 3 5 <br /> '77 <br /> 3. Do the number of bottles received agree with the COC? e' e No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yx.&/ No <br /> 5. Were sample custody seals intact? ' Yes No (NJZ <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? tV: No <br /> 2. Did bottle labels correspond with the client's ID's? V-e� No <br /> 3. Were all bottles requiring sample preservation properly preserved? `Yes/ No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No NN - <br /> 5. Have rush or project due dates been checked and accepted? Yes No ZU, <br /> 6. Were all analyses within holding times at time of receipt? Yes 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: Phone Number: <br /> Initiated By: — - — - 3017919 — <br /> Problem: ) <br /> Resolution: San Joaquin Coun� EHO <br /> (Please use the back of this sheet for additional com STP332156 <br /> contacts) iv 021151202316:21:03 <br /> 11!lllll�lf1111l11�1f!!lllllllllllllll <br /> STK23321% <br />
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