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WP0043645
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043645
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Entry Properties
Last modified
2/12/2024 4:31:54 PM
Creation date
1/24/2024 2:41:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043645
PE
4378
STREET_NUMBER
9145
Direction
W
STREET_NAME
LORRANE
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
24806009
ENTERED_DATE
8/18/2022 12:00:00 AM
SITE_LOCATION
9145 W LORRANE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory ConditM <br /> pon Receipt (Attach to COC} OLJ-ZSample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #:Uy:4�, 4 <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? 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 a No <br /> Sign and date the COC,place in a ziplock and put in the 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: Shipping tracking#(s): C�(��( � <br /> �P <br /> 2. Temp IR Gun ID #:__J � <br /> 3. Were samples received on ice? es No Temps: <br /> Acceptable is above freezing to 6°C. If 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? 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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No C�SK FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? (�ji5 No N/A <br /> 5. Have rush or project due dates been checked and accepted? Ye No (jDk <br /> 6. Were all analyses within holding times at time of receipt? 4 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: T"��� '�T••---'------- - - <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County EHD <br /> Resolution: STU430593 <br /> jaw 01]1101202417:24:18 <br /> (Please use the back of this sheet for additional comments or 111I�Illl[11�1111111111fII1�D11� <br /> STK2430593 <br />
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