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WP0044517
EnvironmentalHealth
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EMERSON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044517
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Entry Properties
Last modified
8/12/2024 8:35:00 AM
Creation date
6/24/2024 4:03:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044517
PE
4378
STREET_NUMBER
3857
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514514
ENTERED_DATE
5/11/2023 12:00:00 AM
SITE_LOCATION
3857 E EMERSON 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 1 <br /> Inter-Laboratory Conditio [pon 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 rece ve on ice? (9 No Temps: <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 hours. <br /> 4. Do the number of bottles received agree with the COC? e No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles,leaks etc.) Yes No <br /> 6. VOAs checked for Headspace? Yes No C/A <br /> 7. Were all analyses within holding times at time of receipt? (2Z) 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 ame 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: Shipping tracking#(s): <br /> C�9 S <br /> 2. Temp IR Gun ID#:OtT 6 <br /> les received on ice? No Temps: toe,3. Were samples I I I I <br /> p � <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? Yes No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Le 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? Yom. No <br /> 2. Did bottle labels correspond with the client's ID's? Yas No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yeas No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No Wk' <br /> 5. Have rush or project due dates been checked and accepted? Yes No NIA <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): VOc <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: San Joaquin Count EHD <br /> (Please use the back of this sheet for additional comments or con STm"'438835 <br /> iv 06/14/2024 06:43:55 <br /> Ill Ill Ilal Illllillllll�llll�lll IIS <br /> sTK243W3s <br />
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