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WP0044122
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044122
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Entry Properties
Last modified
8/31/2023 2:33:33 PM
Creation date
5/2/2023 2:34:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044122
PE
4370
STREET_NUMBER
23852
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
AVE
City
RIPON
Zip
95366-
APN
22815022
ENTERED_DATE
12/1/2022 12:00:00 AM
SITE_LOCATION
23852 S OLIVE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
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- o ry Condition Upon Receipt (Attach to COC) 4A3&1,04Sample Receipt at• STK C CH VI <br /> 1. Number of ice s packages 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 >I0°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 A <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? 4te <br /> No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC, place in a ziplock and put i e ame ice chples. <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 many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: 5 S�4'7 Z 7 Z 1 S 4 cl <br /> .5050 -3T(o <br /> 3. Do the number of bottles received agree with the COC? Y-.eg No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Ye� No <br /> 5. Were sample custody seals intact? 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? (Vw No <br /> 2. Did bottle labels correspond with the client's ID's? Yd No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yet No N/A FGL <br /> lException:Oil&Crease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No WA <br /> 5. Have rush or project due dates been checked and accepted? Yes No 61A <br /> 6. Were all analyses within holding times at time of receipt? Yeo 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: _ --Date- <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional com <br /> contacts) STU336789 <br /> cda 05/25!202316:35:22 <br /> 111111111110111111111 <br /> 4TK233670 <br />
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