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WP0041974
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041974
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Entry Properties
Last modified
9/30/2024 11:56:59 AM
Creation date
4/23/2024 12:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041974
PE
4366
STREET_NUMBER
4103
Direction
N
STREET_NAME
ZUCKERMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95202-
APN
12908054
ENTERED_DATE
4/26/2021 12:00:00 AM
SITE_LOCATION
4103 N ZUCKERMAN RD
P_LOCATION
99
P_DISTRICT
003
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 Conditio on Receipt (Attach to COC)44.386-214o ' <br /> Sample Receipt at: CC CH T VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: 2t <br /> 3. Were samples rece ve on ice? Yes No Temps:/,V <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 sdmple 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.) Yes No <br /> 6. VOAs checked for Headspace? No /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 the2 a 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): �� S <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? Y(es No Temps: <br /> Acceptable is above freezing to 6°C. If repackages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? �Yew No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ycs' 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? LYQs� No <br /> 2. Did bottle labels correspond with the client's ID's? XW No <br /> 3. Were all bottles requiring sample preservation properly preserved? esNo N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No cbL4A <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? YNo <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): Y6-1 <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 County ESD <br /> (Please use the back of this sheet for additional comments or cor STU438626 <br /> iv 06/12/2024 06:20:43 <br /> ST0 2438626 <br />
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