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WP0044053
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044053
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Entry Properties
Last modified
5/29/2024 4:46:56 PM
Creation date
10/23/2023 10:53:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044053
PE
4378
STREET_NUMBER
16728
Direction
E
STREET_NAME
ELSHOLZ
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20322008
ENTERED_DATE
11/14/2022 12:00:00 AM
SITE_LOCATION
16728 E ELSHOLZ RD
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_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditio Upon Receipt (Attach to COC) 02 <br /> Sample Receipt at: CC CH TK VI , <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: ! p <br /> 3. Were samples received on ice. Yes No Temps: <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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc No <br /> 6. VOAs checked for Headspace? o N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put i th same ice chest as the samples. <br /> Sample Receipt Review completed by (initials):_WJ <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 7- Shipping tracking#(s): 561�204o b <br /> 2. Temp IR Gun ID #:1 �� <br /> 3. Were samples received on ice? Y_'�, No Temps: <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? Lev No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) mss' 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? t�. No <br /> 2. Did bottle labels correspond with the client's ID's? Yes' No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes NoLA) FGL <br /> ]Exception:Oil&Crease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? 4C4e No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? Vzg" 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: <br /> Resolution: (3017919) <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or contal STU435741 <br /> iv 04/2512024 07:31:28 <br /> IQ[I�,TV247-574llQl[III�I <br />
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