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WP0042874
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042874
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Entry Properties
Last modified
4/29/2024 8:58:01 AM
Creation date
2/13/2023 1:54:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042874
PE
4366
STREET_NUMBER
27851
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
20924010
ENTERED_DATE
12/30/2021 12:00:00 AM
SITE_LOCATION
27851 S LAMMERS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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 tory Condition Upon Receipt (Attach to C0Q&4W1/9q <br /> Sample Receipt at: STK CC ! CH VI <br /> 1. Number of ice chess packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps://• g / <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 /> *es N 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) o ' <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No (S/?�) <br /> 7. If required, was sample split for pH analysis? No N/A <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Y No <br /> Sign and date the COC,place in a ziplock and put int a 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 6-w C. If manypackages <br /> kapackages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: q <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. Were sample custody seals intact? Yes No D/A <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labe s. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? Y No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? es- 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? es o <br /> Attach labels to the containers and include a copy of the COCfQ 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 /> -- - -- 130179191 tu <br /> 2. Person Contacted.. t GI►D <br /> Initiated B : <br /> nIt y Sad�oa� <br /> Problem: <br /> Resolution: <br /> 1x;16:30 <br /> 01125[2023 �� <br /> (Please use the back of this sheet for additional iv llcre <br /> contacts) STS <br />
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