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WP0041525
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041525
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Entry Properties
Last modified
12/30/2024 2:22:16 PM
Creation date
12/8/2023 11:05:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041525
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
21589
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
20928051
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
21589 S LAMMERS RD TRACY 95304-
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_MDOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditio on Receipt (Attach to COC)o�� 6-36'7 <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 <br /> 3. Were samples receivedVice? No%eat <br /> Temps: <br /> Surface water SWTR bact samples:A samp has a temperature upon receipt of >I 01 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? 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 es 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): 00 <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 3 Shipping tracking#(s): <br /> �C��S y C4 —_7 2� � 7 3 l <br /> 2. Temp IR Gun ID #: Z(� <br /> 3. Were samples received on ice? 'e No Temps: I I 1 I I <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? s 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? ee <br /> s No <br /> 2. Did bottle labels correspond with the client's ID's? sNo <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No FGL <br /> lException:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No I�A <br /> 6. Were all analyses within holding times at time of receipt? Las 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): CT,io9 <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: Joa uin CountyEND <br /> San <br /> (Please use the back of this sheet for additional comments or c STK2356367 <br /> iv 111291202315:42:32 <br /> Ill lel Il�l�I�1��IlU�l�l��lll�I I� <br /> STK2356367 <br />
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