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WP0044769
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044769
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Entry Properties
Last modified
2/22/2024 4:17:19 PM
Creation date
2/2/2024 10:47:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044769
PE
4378
STREET_NUMBER
4634
Direction
E
STREET_NAME
COOPER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01703062
ENTERED_DATE
8/21/2023 12:00:00 AM
SITE_LOCATION
4634 E COOPER RD
P_LOCATION
99
P_DISTRICT
004
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 Conditi Upon Receipt (Attach to COC `�j��Z( <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? es No Temps. <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >I 0*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? Yes No <0 <br /> 7. Were all analyses within holding times at time of receipt? No <br /> a <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put int a 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: -;2 Shipping tracking#(s): �M �' 7�' G / g Dc1 <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? (�;s No Temps: D-� <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? fe <br /> s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) sNo <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? s No <br /> 2. Did bottle labels correspond with the client's ID's? s No <br /> 3. Were all bottles requiring sample preservation properly preserved? Qes No N/A FGL <br /> IException:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No NfA <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? Y@ 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: (3017919) <br /> Resolution: EHD <br /> San Joaquin County <br /> (Please use the back of this sheet for additional comments or coy STIU431321 <br /> jaw 011261202412:56:30 <br /> �l�1I1{1111�111111111�11{1111�{� <br /> STK2431321 <br />
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