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WP0044381
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044381
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Entry Properties
Last modified
4/29/2024 8:58:38 AM
Creation date
5/1/2023 11:28:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044381
PE
4391
STREET_NUMBER
30000
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25324010
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
30000 S CHRISMAN 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.DOC <br /> Revision Date: 10109/14 Page 1 of 1 <br /> Inter-Lab—oratory Condition Upon Receipt (Attach to COC) a33'S�3/ <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: S;P, 7 / / / / <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.) Yes No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No /A- <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date, time and sampler namees No <br /> Sign and date the COC,place in a ziplock and put in thAe 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 y packages are recei ed at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 60:�' � `�Gt <br /> l <br /> 3. Do the number of bottles received agree with the COC? oNo NIA <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) a No <br /> 5. Were sample custody seals intact? Yes No /A <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:OII&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 COGIx lab de t <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: (3017919) <br /> Initiated By: <br /> Problem: San Joaquin County EHO <br /> Resolution: STU334318 <br /> Please use the back of this sheet for addition -re <br /> ( iv 04lI111(�12023 08:0j9:49 <br /> contacts) 11 uIll 1111 Q�111111 <br /> SSN2334318 <br />
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