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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: 3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of I <br /> Inter-Laboratory Conditio pon Receipt (Attach to COC} W100451Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #• � JJ a <br /> 3. Were samples r ceiv d on ice? Yes o on <br /> Surface water SW ct 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 etc.) Ye No <br /> 6. VOAs checked for Headspace? Yes No <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name ( S No <br /> Sign and date the COC,place in a ziplock and put in the me 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: Zi Shipping tracking#(s): S(o S zI 7 5G� <br /> _Z I 1AV <br /> 2. Temp IR Gun ID #: 'T 01 <br /> 3. Were samples received on ice? c� No Temps: S`- <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? i,_� No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) L�e 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? Yes No <br /> 2. Did bottle labels correspond with the client's ID's? YgA) No <br /> 3. Were all bottles requiring sample preservation properly preserved? kes No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No / . <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? 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: SanJoaquinCountyEHD <br /> (Please use the back of this sheet for additional comments or conta STC438457 <br /> mdc 061111202413:59:47 <br /> II fll�Il IIIaI�p�IIIIIII��III�1 <br /> STK2438457 <br />
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