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WP0043737
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043737
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Entry Properties
Last modified
5/29/2024 4:46:15 PM
Creation date
10/23/2023 10:53:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043737
PE
4370
STREET_NUMBER
15809
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
Zip
95361-
APN
22922002
ENTERED_DATE
9/1/2022 12:00:00 AM
SITE_LOCATION
15809 S VICTORY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' Upon Receipt (Attach to C0QD ZS-Z 9 <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID ` <br /> 3. Were samples receivedonice? Yes No TempsL7� <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 /> 4. Do the number of bottles received agree with the COC? Is <br /> No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a'ziplock and put int same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 7- Shipping tracking#(s): �7(�l 37-toS3 <br /> 2. Temp IR Gun ID M ?ltw-� <br /> 3. Were samples received on ice? Q es No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/i.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? �Y� No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? &.i No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No %11,& FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? 64 s No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes NoN�/ . <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 Jab delivery. <br /> Sample Receipt, Login and Verification completed by (initials): C_ <br /> DiscrepancyDocumentation: <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: <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or contac SM"435798 <br /> iv 04126/2024 07:37:22 <br /> SK23357979243579 <br /> 8 <br />
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