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WP0044831
EnvironmentalHealth
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EMERSON
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044831
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Entry Properties
Last modified
7/23/2024 8:19:35 AM
Creation date
7/1/2024 4:09:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044831
PE
4370
STREET_NUMBER
3914
Direction
E
STREET_NAME
EMERSON
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00514522
ENTERED_DATE
9/7/2023 12:00:00 AM
SITE_LOCATION
3914 E EMERSON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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GL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> evision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condi ' on Receipt (Attach to COC)��.�V.;76 5 <br /> Sample Receipt at: CC CH STK VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> Temp IR Gun ID#• t <br /> 3. Were samples rece d on ice? Yes No Temps: <br /> Surface water SWTR bact samples:A s e that has a temperature upon receipt of >I 0*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? lesamples.No N/A <br /> Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? No N/A <br /> 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 p th ame ice chest a <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): Q (^ <br /> 2. Temp IR Gun ID #: ?41-I I <br /> 3. Were samples received on ice? es No Temps: <br /> Acceptable is above freezing to 6°C. If m 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? es No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? a No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? es No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes.,.,No --M <br /> 6. Were all analyses within holding times at time of receipt? ) eD No <br /> Attach labels to the containers and include a copy of the COC for lab elivery. <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: -_! (3017919) <br /> Problem: EHD <br /> San 108yinResolution: CDunty <br /> STW2439355 <br /> (Pl se use the back of this sheet for additional comments iv 0612512024 07:36:08 <br /> ��11�1111�1�1�11111111 aa1 <br /> �11�11 . Qz55 <br /> Sih243. <br />
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