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WP0043706
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043706
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Entry Properties
Last modified
7/20/2023 5:38:01 PM
Creation date
2/13/2023 1:56:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043706
PE
4366
STREET_NUMBER
18383
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02114007
ENTERED_DATE
8/31/2022 12:00:00 AM
SITE_LOCATION
18383 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-LrTK <br /> ory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Numberoficethages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: �0- 'T l / 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 /> 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.) es No <br /> 5. VOAs checked for Headspace? Yes No §Z2!) <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? - No <br /> 9. Verify sample date,time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in the s e ice chest as the samples. <br /> Sample Receipt Review completed by (initials): r <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: C <br /> Acceptable is above freezing to 6`w C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 5Z(g 1 277., <br /> 2') <br /> 3. Do the number of bottles received agree with the COC? Yes) No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Veg" No <br /> 5. Were sample custody seals intact? Yes No N/ <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? �e,� No <br /> 2. Did bottle labels correspond with the client's ID's? V-ee 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 N/ <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? 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 CountyEHD <br /> (Please use the back of this sheet for additional come STU330636 <br /> contacts) iv 0111612023 08:15:54 <br /> Ifl Ill��l(lfn�lia��l�lall�llll�l <br /> STK233"36 <br />
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