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WP0043751
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043751
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Entry Properties
Last modified
6/7/2024 9:05:37 AM
Creation date
5/30/2024 4:28:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043751
PE
4378
STREET_NUMBER
23861
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22615026
ENTERED_DATE
9/7/2022 12:00:00 AM
SITE_LOCATION
23861 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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t <br /> FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condi ' '[Pon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages receive Shipping tracking#(s): <br /> 2. Temp IR Gun ID #Q4Y�21— <br /> 3. Were samples received on ice? No Temps ' <br /> p � o <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 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.) Y No <br /> 6. VOAs checked for Headspace? No 9/ � <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 andput ' hes 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: �5 Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:Tt j 2119 <br /> 3. Were samples received on ice? (e No Temps: E5 oc, / 1 °c / 2,°,- I / <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? Re <br /> No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 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? Ee <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No L/-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? Ces 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): J <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: San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or cont ST9436426 <br /> iv 0510812024 08:29:16 <br /> �1 I�ll V�111�111�1�1111f11�1111�1 <br /> STK2436426 <br />
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