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WP0041716
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041716
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Entry Properties
Last modified
5/2/2023 4:27:39 PM
Creation date
2/13/2023 1:51:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041716
PE
4366
STREET_NUMBER
4103
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00539046
ENTERED_DATE
2/19/2021 12:00:00 AM
SITE_LOCATION
4103 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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 to Condition Upon Receipt Attach to COC <br /> tory P P � ) <br /> Sample Receipt at: STK CC CH VI <br /> 1. Number of ice c packages received. Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: /' 6 <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? We <br /> No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 5. VOAs checked for Headspace? No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No /A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in hame 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: <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: <br /> SSS p2G�C7'� <br /> 3. Do the number of bottles received agree with the COC? e No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <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 /> 1. Were all requested analyses understood and acceptable? s 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? Yes No / <br /> 6. Were all analyses within holding times at time of receipt? Lle No <br /> Attach labels to the containers and include a copy of the COC for b elivery. <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 CountyEHOResolution: STC331346 <br /> `I <br /> (Please use the back of this sheet for additional corn <br /> iv 0210i/2023 09:35:09 <br /> contacts) <br /> 11111111'lllf�i11111�11f�llll�llll�l <br /> STK2331346 <br />
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