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WP0042352
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042352
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Entry Properties
Last modified
4/25/2024 12:08:54 PM
Creation date
2/16/2023 11:08:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042352
PE
4366
STREET_NUMBER
24184
Direction
S
STREET_NAME
CABE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25015028
ENTERED_DATE
7/28/2021 12:00:00 AM
SITE_LOCATION
24184 S CABE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12-4.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> IM <br /> Inte a ory Condition Upon Receipt (Attach to COC) C t Cl) <br /> Sample ReceiptTK CC CH VI <br /> Lppackages <br /> 1. Number of received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps:M.� / <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? No N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc. No <br /> 5. VOAs checked for Headspace? Yes No <br /> �g� <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? o <br /> 9. Verify sample date,time and sampler name e o <br /> Sign and date the COC,place in a ziplock and put in s e i e the as a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: t–/ / / 3 / T— <br /> Acceptable is above freezing to 6-C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: <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.) a No <br /> 5. Were sample custody seals intact? Yes No 80 <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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No C� <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? Y 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):_ ' d/ <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: (3011919) <br /> Initiated By: Sari t;aagrir Cert ESD <br /> Problem: <br /> Resolution: SM112230878 <br /> J L f e <br /> (Please use the back of this sheet for additional , iv 101/18/2022 15.50:00 <br /> contacts) I�IIIIIJIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />
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