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WP0044534
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044534
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Entry Properties
Last modified
8/12/2024 8:33:52 AM
Creation date
6/19/2024 2:24:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044534
PE
4366
STREET_NUMBER
23591
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00738025
ENTERED_DATE
5/16/2023 12:00:00 AM
SITE_LOCATION
23591 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP-14.DOC <br /> Revision Date: 10/10/23 Page 1U90 <br /> Inter-Laboratory Condit' on Receipt (Attach to COC) - <br /> Sample Receipt at: CC CH T VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples r ceiv on ice? es o Temps:�'�' <br /> Surface water SWT ct samples:A samp a 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? QUD No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? No NIA <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 th same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: f <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5 61 s 17 5� I <br /> 2. Temp IR Gun ID #: I <br /> 3. Were samples received on ice? DYe 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? %�ad No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) tog 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? Ye No <br /> p <br /> 2. Did bottle labels correspond with the client's ID's? ' No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 4hLIA FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab[ <br /> 4. VOAs checked for Headspace? OY-es' No N/A <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? 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): 1lt'>C�- <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 coy STU438458 <br /> mdc 061111202413:59:42 <br /> lil(li���l��i�alll li�111119111� <br /> STK2438458 <br />
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