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WP0044884
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044884
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Entry Properties
Last modified
12/23/2024 2:55:52 PM
Creation date
6/24/2024 7:59:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044884
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
32217
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25330010
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
32217 S BIRD RD TRACY 95304-
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 Condi ' on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive : �— Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: 020<�T� I <br /> 3. Were samples received on ice? Yes No Temps: <br /> p <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 <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.) -es-- o <br /> 6. VOAs checked for Headspace? 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 chest as a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: S q 5 <br /> Number of ice chests/packages received. Shipping tracking#(s). <br /> 003 5y714) S 3 `l t22. Temp IR Gun ID#• i1a7,b <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? Yom, No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) yes 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? V-w No <br /> 2. Did bottle labels correspond with the client's ID's? ems No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No LNC <br /> 5. Have rush or project due dates been checked and accepted? Yes No Lo <br /> 6. Were all analyses within holding times at time of receipt? Les 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 CountyEND <br /> (Please use the back of this sheet for additional comments or c <br /> STU438514 <br /> iv 06/1212024 06:16:49 <br /> !II[(I[[[l[I[I!I[!I[[IIlIIII[[I[II[I[II <br /> STK2438514 <br />
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