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WP0044433
EnvironmentalHealth
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27129
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044433
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Entry Properties
Last modified
12/23/2024 2:56:22 PM
Creation date
6/7/2024 9:32:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044433
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
27129
Direction
N
STREET_NAME
SOWLES
STREET_TYPE
RD
City
ACAMPO
Zip
95632-
APN
00710019
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
27129 N SOWLES RD ACAMPO 95632-
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 Cond' ' on Receipt (Attach to COC) d� -�'Z1p¢� <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on ice? Yes No Temps: <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 etcNo <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 - es No <br /> Sign and date the COC,place in a ziplock and put in a ice hest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 7✓ Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:t Rz616 <br /> 3. Were samples received on ice? .` 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? Yes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yee/ 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? MnYNo <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? NYes No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No Wil, <br /> 5. Have rush or project due dates been checked and accepted? Yes No / <br /> 6. Were all andlyses within holding times at time of receipt? Ye 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: (3017919) <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or conn STK2437643 <br /> iv 0512912024 07:05:49 <br /> I f I I l l l l I l I I I I I 111111111111111111�l 111 <br /> F.TK2437643 <br />
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