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WP0044953
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044953
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Last modified
9/30/2024 11:14:14 AM
Creation date
3/20/2024 2:22:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044953
PE
4366
STREET_NUMBER
24790
Direction
N
STREET_NAME
BROVELLI WOODS
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00310033
ENTERED_DATE
10/6/2023 12:00:00 AM
SITE_LOCATION
24790 N BROVELLI WOODS LN
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 /> t <br /> Inter-Laboratory Conditio pon Receipt (Attach to COC),446elg*A <br /> %. <br /> Sample Receipt at: CC CH S VI <br /> 1. Number of ice chests/packages receiv T Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: f0ow- <br /> 3. Were samples received on ice? Se <br /> o Temps: <br /> Surface water SWTR bact samples:Athat 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? e 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 /> S. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put i e same ice c es a samples. <br /> Sample Receipt Review completed by (initials): �W_ / <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received. Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: 1�7, � <br /> 3. Were samples received on ice? Pany <br /> No Temps: 47 L / / <br /> Acceptable is above freezing to 6°C. Ifpackages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Yee , No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes,-, 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? des 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 (NL&I FGL <br /> iException:Oil&Grease,VOA and CM verified in labs <br /> 4. VOAs checked for Headspace? No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <br /> 6. Were all analyses within holding times at time of receipt? Yes 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): I4�_ <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 CountyEHD <br /> (Please use the back of this sheet for additional comments or cont; STK2437842 <br /> iv 06/03/2024 06:32:55 <br /> 11111111111811111111 <br /> STK2437842 <br />
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