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WP0043893
EnvironmentalHealth
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EMERSON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043893
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Entry Properties
Last modified
4/17/2024 11:27:43 AM
Creation date
2/2/2024 10:52:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043893
PE
4378
STREET_NUMBER
3782
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514528
ENTERED_DATE
10/5/2022 12:00:00 AM
SITE_LOCATION
3782 E EMERSON 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 Condit' Upon Receipt (Attach to COC .9' " \�-1 <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? �Q 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? le <br /> 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 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): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? es No Temps I 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 /> I. Were all requested analyses understood and acceptable? s 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 I</A FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No 144� <br /> 6. Were all analyses within holding times at time of receipt? & No <br /> Attach labels to the containers and include a copy of the COC for delivery. <br /> t <br /> Sample Receipt, Login and Verification completed b (initials): <br /> p P � g P Y � <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 CountyEND <br /> (Please use the back of this sheet for additional comments or cont STK2431351 <br /> jaw 011251202417:08:18 <br /> al l�Il��1111I1111f�111111f11 Ill1� <br /> STK2431351 <br />
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