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WP0044152
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044152
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Last modified
9/30/2024 11:17:38 AM
Creation date
6/7/2024 2:33:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044152
PE
4366
STREET_NUMBER
795
Direction
W
STREET_NAME
BROVELLI WOODS
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00310040
ENTERED_DATE
12/19/2022 12:00:00 AM
SITE_LOCATION
795 W BROVELLI WOODS LN
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 Conditi on Receipt Attach to COC <br /> Sample Receipt at: CC CH VI y <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> k <br /> 2. Temp IR Gun ID#: 64NIF ice? Yes No Tem q <br /> Temps: l I l l <br /> 3. Were samples received on p <br /> Surface water SWTR batt samples:A s 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? es 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 in the same ice cheAdsa samples. <br /> Sample Receipt Review completed by (initials): QW.-.O* <br /> VT— <br /> Sample Receipt at SP: S(a�5OS Z, <br /> 1. Number of ice chests/packages received: 7.� Shipping tracking#(s): <br /> ryl <br /> 2. Temp IR Gun ID #: t N Z <br /> 3. Were samples received on ice? No Temps: �C <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? �.-Y:s No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Y-e.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? No <br /> 2. Did bottle labels correspond with the client's ID's? q�p� 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? / No N/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? ypV 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 County EHO <br /> (Please use the back of this sheet for additional comments or con STK2437843 <br /> iv 06/0312024 06:36:45 <br /> III�I�II Ill�lll�llllllllllall Il I� <br /> STK2437845 <br />
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