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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[ pon Receipt (Attach to COC)o�`3S__19�S_. <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 received on ice? Yes No Temps. <br /> Surface water SWTR bact samples:A s$amp that has a temperature upon receipt of >l0°C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hou <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? Xes No ONI <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 in the ame 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: Shipping tracking#(s): �,$3 <br /> 73 /I <br /> 2. Temp IR Gun ID ,� l <br /> 3. Were samples received on ice? e No Temps: ` C <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? tes� <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) 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? (Yes, No <br /> 2. Did bottle labels correspond with the client's ID's? -ye ) No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No �l_IAc <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <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 deliv� <br /> Sample Receipt, Login and Verification completed by(initials): MSL <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: <br /> Resolution: {3017919) <br /> San Joaquin County END <br /> (Please use the back of this sheet for additional comments or conta S1141435195 <br /> iv 04/2612024 07:37:16 <br /> III[II[llllSTK2 N[llllll�[lll�llll <br />
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