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WP0044148
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044148
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Entry Properties
Last modified
3/4/2024 11:07:53 AM
Creation date
2/13/2024 11:13:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044148
PE
4370
STREET_NUMBER
9945
Direction
W
STREET_NAME
BENSON FERRY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00111004
ENTERED_DATE
12/14/2022 12:00:00 AM
SITE_LOCATION
9945 W BENSON FERRY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002SOP,14MOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditi pon Receipt (Attach to COC)DL j Nq <br /> Sample Receipt at: CC CH (STO VI <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> 2. Temp IR Gun ID#Uv <br /> 3. Were samples received on ice? Ye 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? No <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 intTsame 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). l 6214, zamq 1qr, <br /> e'W2. Temp IR Gun ID#: <br /> (Z�l GW4!VU0 t ��L- <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 .T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Weresamples received intact?(i.e. no broken bottles, leaks etc.) No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tesrint labels. <br /> Sample Verification, Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? At�§ No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved. No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] Is <br /> 4. VOAs checked for Headspace? Yes No <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? "�je , No <br /> Attach labels to the containers and include a copy of the COC for lab elive <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: (3017919) <br /> Problem: <br /> Resolution. San Joaquin County <br /> STK24,01908 <br /> (Please use the back of this sheet for additional comments of iv 0210812024 08:08:38 <br /> STN_451-@ <br />
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