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WP0044433
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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) 7� <br /> Sample Receipt at: CC CH K VI <br /> 1. Number of ice chests/packages received: _� Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: - <br /> r <br /> 3. Were samples received on is Yes No Temps: <br /> Surface water SWTR bact samples. mple 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.) No <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 Yes No <br /> Sign and date the COC,place in a ziplock and put i e ice ches as samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: I-A <br /> 3. Were samples received on ice? ' es 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? des No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Q ;s 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? i�eV No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No / , FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes./ No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No AVEC <br /> 6. Were all analyses within holding times at time of receipt? Yes 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: (3017919) <br /> Resolution: <br /> San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or con STU437644 <br /> iv 05129/2024 07:05:36 <br /> Ill llllllllll�lillllllllllllllllllll� <br /> STK2437644 <br />
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