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WP0044831
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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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FGL Environmental Doc ID:3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditio on Receipt (Attach to COC) N V- <br /> Sample Receipt at: CC CHT VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Guri ID#: <br /> 3. Were samples received on ice? QYesNo TempsSurface water SWTR bact samples:A 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? No N/A <br /> 5. Were samples received intact?(i.e.no broken bottles,leaks etc.) No <br /> 6. VOAs checked for Headspace? Ye No NIA <br /> 7. Were all analyses within holding times at time of receipt? e No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put same 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): (D(Q�( � �J <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? e No Temps: <br /> Acceptable is above freezing to 6°C. If any 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 NIA <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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No <br /> 6. Were all analyses within holding times at time of receipt? 1�9 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: (3017919) <br /> Problem. San JoaquinInitiated By: County <br /> Resolution: 114 39354 <br /> STRL4 <br /> iv 0612512024 07:37:36 <br /> ( nease use the back of this sheet for additional cohere <br /> STF.[ <br /> "439354 <br />
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