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WP0043411
EnvironmentalHealth
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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-Laborato Condi ' n Receipt Attach to COC) p1`T 3 541�� <br /> Inter-Laboratory P C <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: 1 Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on is Yes o Temps: <br /> p <br /> Surface water SWTR bact samples. a that has a temperature upon receipt of >100 C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less thaessamples. <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 etNo <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 t s e ice c <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 1 Shipping tracking#(s): '�6/S�G( S 5 <br /> �-� <br /> 00-5 '51T C,> <br /> 2. Temp IR Gun ID#.7� � <br /> 3. Were samples received on ice? No Temps: '�)L_ I I I I <br /> Acceptable is above freezing to 6°C. U66y 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? 6�oe No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye <br /> ,9 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? lyes- No <br /> 2. Did bottle labels correspond with the client's ID's? (Ve� No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No tjo/ FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? CYC No N/A <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? Q�ey 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: <br /> Resolution: s (3017919) <br /> San Joaquin CountyEHO <br /> (Please use the back of this sheet for additional comments or coni STm438566 <br /> iv 06/12/2024 06:16:11 <br /> -STK2438566 <br />
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