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WP0044382
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044382
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Entry Properties
Last modified
7/22/2024 9:27:45 AM
Creation date
6/27/2024 11:48:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044382
PE
4366
STREET_NUMBER
20896
Direction
S
STREET_NAME
CARROLTON
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24512054
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
20896 S CARROLTON RD
P_LOCATION
99
P_DISTRICT
005
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 Condit' on Receipt (Attach to COC) Polo <br /> Sample Receipt at: CC CH TK VI <br /> 1. Number of ice chests/packages received: ( Shipping tracking#(s): <br /> r- <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ice? Yes No Temps: <br /> / <br /> p p 1 I I <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >101 C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less thantw�hh <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. __.Y No <br /> 6. VOAs checked for Headspace? N N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> S. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as a samples. <br /> Sample Receipt Review completed by (initials): ay.,) <br /> Sample Receipt at SP: 7,, <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): g <br /> q�rq <br /> 2. Temp IR Gun ID#: i.D <br /> 3. Were samples received on ice? �e 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? LYW No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yom` 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? No <br /> p (� <br /> 3. Were all bottles requiring sample preservation properly preserved? Ye No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No %M <br /> 5. Have rush or project due dates been checked and accepted? Yes No itM <br /> 6. Were all analyses within holding times at time of receipt? NYes) 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): 1>L <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 County EHD <br /> (Please use the back of this sheet for additional comments or cc STK2439004 <br /> 1v 06119/2024 07:53:05 <br /> STK2439004 <br />
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