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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:3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condi ' U on Receipt (Attach to COC) a�535/ <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive ) Shipping tracking#(s): ; <br /> 2. Temp IR Gun ID <br /> 3. Were samples received on is ? Yes o Temps: / <br /> Surface water SWTR bact samples: a that has a temperature upon receipt of >I00 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 et 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 No <br /> Sign and date the COC,place in a ziplock and put in the same ice the amples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> t� <br /> 2. Temp IR Gun ID#: � 2 SG�O <br /> 3. Were samples received on ice? �,�Y, No Temps: SC /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? cYes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Y&v 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? V4&-,, No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No QTlA-' FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No kNw <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): <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 coy STU438515 <br /> iv 061,12/2024 06:16:41 <br /> allll[IIl[[IUf[III[II[[III[[Illal[fl <br /> STV2436515 __ <br />
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