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WP0043411
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ELLIOTT
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043411
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Entry Properties
Last modified
10/8/2024 1:46:17 PM
Creation date
4/8/2024 4:58:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043411
PE
4380
STREET_NUMBER
29000
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00719018
ENTERED_DATE
6/23/2022 12:00:00 AM
SITE_LOCATION
29000 N ELLIOTT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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' on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI X <br /> 1. Number of ice chests/packages receive . _I Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: lbl;ar <br /> 3. Were samples received on iceae <br /> o Temps: <br /> Surface water SWTR bact samples: 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? lasamples. <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. V OAs checked for Headspace? N <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 a me ice ches <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5 64 <br /> CIO 7 ;�Z <br /> 2. Temp IR Gun ID#: s <br /> 3. Were samples received on ice? /Qs No Temps: <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? LYg&, No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Y� 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? Yew No <br /> 2. Did bottle labels correspond with the client's ID's? Ves� No <br /> 3. Were all bottles requiring sample preservation properly preserved? Ues� No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No NW <br /> 6. Were all analyses within holding times at time of receipt? LY 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): W>r- <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: <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or co STK2438565 <br /> iv 06/1212024 06:16:18 <br /> fll l��II II l�illl101fll l��ll l�111 <br /> STK2438565 <br />
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