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WP0044788
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044788
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Entry Properties
Last modified
8/19/2024 8:58:21 AM
Creation date
7/16/2024 10:43:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044788
PE
4366
STREET_NUMBER
23000
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
06707001
ENTERED_DATE
8/24/2023 12:00:00 AM
SITE_LOCATION
23000 E FRAZIER 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 ConM:- Shipping <br /> n Receipt (Attach to COC) <br /> Sample Receipt at: CC CHVI <br /> 1. Number of ice chests/packages recei tracking#(s): <br /> 2. Temp IR Gun ID #: T01�- <br /> 3. Were samples received on ice. Yes o Temps: 5, 1/ <br /> I I I <br /> p P <br /> Surface water SWTR bact samples: mp 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 ho <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 es No <br /> 6. VOAs checked for Headspace? N N/A <br /> 7. Were all analyses within holding times at time of receipt? Yes No <br /> 8. Verify sample date,time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put in a ame is rhes a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: _� Shipping tracking#(s): F)U <br /> 2. Temp IR Gun ID#: 2M JJA <br /> 3. Were samples received on ice? (e No Temps: f c <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? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 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? Pe <br /> 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 /> lException:Oil&Grease,VOA and CM verified in lab) <br /> 4. VOAs checked for Headspace? Yes No /A <br /> 5. Have rush or project due dates been checked and accepted? Yes No ZITA <br /> 6. Were all analyses within holding times at time of receipt? 'e 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: (3017919) <br /> Problem: , <br /> Resolution: San Joaquin EHD <br /> STU439579 <br /> (Please use the back of this sheet for additional comments or col jaw 061271202416:57:51 <br /> 11I Ill 11�1111�111�1�111111111 Ill�l <br /> STK2439579 <br />
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