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WP0045379
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4200/4300 - Liquid Waste/Water Well Permits
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WP0045379
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Entry Properties
Last modified
8/5/2024 2:43:45 PM
Creation date
6/7/2024 9:27:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0045379
PE
4378
STREET_NUMBER
12445
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00720023
ENTERED_DATE
3/25/2024 12:00:00 AM
SITE_LOCATION
12445 LIBERTY RD
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 /> Inter-Laboratory Condition pon Receipt (Attach to C0C) 40,1W) <br /> Sample Receipt at: CC CHT VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> a <br /> 2. Temp IR Gun ID#: D <br /> 3. Were samples rec iveon ice? Yes No Temps: <br /> Surface water SWTR bact samples: A e 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 /> �eNo <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) <br /> 6. VOAs checked for Headspace? Yes No N/ <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in the 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: 3 Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: 5'C.o i q q qs3 / -713 a(o-7c-1 <br /> 3. Were samples received on ice? (�e) No Temps: 3 I 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? s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? fe <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? 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 N <br /> 6. Were all analyses within holding times at time of receipt? )@s 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): CD4 <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: Ph_one_N_ umber- — <br /> Initiated By: (3017919) <br /> R solu on: uin CountySan Joaq <br /> STK2437 <br /> (Please use the back of this sheet for additional comments or coi cda 051291202417:01:32 <br /> 11111111111111�111111111111� <br /> all 11 .�,.� <br />
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