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WP0043680
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043680
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Entry Properties
Last modified
8/31/2023 2:32:58 PM
Creation date
5/2/2023 1:55:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043680
PE
4378
STREET_NUMBER
26914
Direction
E
STREET_NAME
JONES
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24718005
ENTERED_DATE
8/25/2022 12:00:00 AM
SITE_LOCATION
26914 E JONES 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: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC)4306 9�Of <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice ac ages received: Shipping tracking# , <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of X10°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.) Ye 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 <br /> 8. Were all analyses within holding times at time of receipt? Yes No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock andsame ice chest as the samples. <br /> Sample Receipt Review completed by(initial <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: �L <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: S Si 4*0 + M 15 g167 d <br /> q11�,(& It&Sv <br /> 3. Do the number of bottles received agree with the COC? Yes No NIA <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes No <br /> 5. Were sample custody seals intact? I 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? fez, No <br /> 2. Did bottle labels correspond with the client's ID's? Te!�/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in labs <br /> 4. VOAs checked for Headspace? Yes No (Z11A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N1A) <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 itemis 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: — -`- — - <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional coma STU336961 <br /> contacts) <br /> iv 05131/2023 07:03:02 <br /> U111111111111 <br /> STK2M%l <br />
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