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WP0042659
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042659
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Entry Properties
Last modified
9/6/2023 8:20:06 AM
Creation date
8/17/2023 1:36:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042659
PE
4366
STREET_NUMBER
25352
Direction
N
STREET_NAME
MAGNOLIA
STREET_TYPE
PL
City
ACAMPO
Zip
95220-
APN
00540002
ENTERED_DATE
10/14/2021 12:00:00 AM
SITE_LOCATION
25352 N MAGNOLIA PL
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900602 SOP 12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> A <br /> Inter- tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at STK CC CH VI <br /> 1. Number of ice ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water SWTR batt samples:A sample that has a temperature upon receipt of >1 61 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 I No <br /> 5. VOAs checked for Headspace? Yes' N <br /> 6. Were sample custody seals intact? Yes! N <br /> 7. If required, was sample split for pH analysis? N <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in ' <br /> a same ce ches a amples. <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 ests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: S< m S`�� <br /> '7-7 <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. Were sample custody seals intact? Ye No LN 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? W-aw No <br /> 2. Did bottle labels correspond with the client's ID's? Yao/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y..®sro� No N/A FGL <br /> Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Ye No N/ <br /> 5. Have rush or project due dates been checked and accepted? Ye� No <br /> 6. Were all analyses within holding times at time of receipt? Ye No <br /> Attach labels to the containers and include a copy of the COC for lab delive <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— 1 <br /> Problem: 3017919) <br /> Resolution: San Joa'quin CountyEHO <br /> (Please use the back of this sheet for additional comr STU339871 <br /> contacts) <br /> iv 07/25/2023 07:15:26 <br /> I!!I1111Y1111l1l11�1��1111�1111��1 <br /> STK2339971 <br />
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