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WP0042889
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042889
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Entry Properties
Last modified
2/22/2024 4:11:39 PM
Creation date
6/10/2022 1:43:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042889
PE
4378
STREET_NUMBER
16000
Direction
S
STREET_NAME
COTTAGE
STREET_TYPE
AVE
City
MANTECA
Zip
95336-
APN
20837010
ENTERED_DATE
1/10/2022 12:00:00 AM
SITE_LOCATION
16000 S COTTAGE AVE
P_LOCATION
99
P_DISTRICT
003
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 Condi ' Upon Receipt (Attach to COC �j1��u� <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: L� _ Shipping tracking#(s): <br /> 2. Temp IR Gun ID# <br /> 3. Were samples received on ice? No Temps: I I I 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 /> 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.) No <br /> 6. V OAs checked for Headspace? Oes No <br /> 7. Were all analyses within holding times at time of receipt? a No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and putin tA same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received:—r -- Shipping tracking#(s): 6(/(/�217li1U uG01 <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? (Y s No Temps:_I I I I <br /> Acceptable is above freezing to 6°C. If many 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? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Ves 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? No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Y s No GA <br /> 6. Were all analyses within holding times at time of receipt? 9s No <br /> Attach labels to the containers and include a copy of the COC for la delivery. <br /> Sample Receipt, Login and Verification completed by (initials): C <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: _ Dates <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or cont STU431344 <br /> jaw 01/251202417:15:48 <br /> 01 I��Il 11111��1111�1�111111�I� <br /> STK2431344 <br />
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