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WP0043162
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043162
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Entry Properties
Last modified
8/15/2024 10:58:52 AM
Creation date
7/16/2024 10:44:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043162
PE
4370
STREET_NUMBER
10416
Direction
E
STREET_NAME
SOUTHLAND
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20807028
ENTERED_DATE
4/11/2022 12:00:00 AM
SITE_LOCATION
10416 E SOUTHLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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 CondiV: 1 <br /> n Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages receive7Shipping tracking#(s): ' <br /> 2. Temp IR Gun ID #: 2 <br /> Were samples received on ice Yes)ethat <br /> No Tem s: /�/ <br /> 3 p p <br /> Surface water SWTR bact samples: 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';;es <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 s No <br /> 6. VOAs checked for Headspace? N N/A <br /> 7. Were all analyses within holding times at time of receipt? Pesamples.No <br /> 8. Verify sample date,time and sampler name = No <br /> Sign and date the COC,place in a ziplock and put in t e s e ice ches <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 5 Shipping tracking#(s): <br /> ',I� lir 5y 30 6) <br /> 2. Temp IR Gun ID#: -n4 / <br /> 3. Were samples received on ice? es 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? Yes 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? '-Y� No <br /> 2. Did bottle labels correspond with the client's ID's? `Y-e No <br /> 3. Were all bottles requiring sample preservation properly preserved? Ye_s,/ No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No Lhi1.A <br /> 5. Have rush or project due dates been checked and accepted? Yes No �IlAC <br /> 6. Were all analyses within holding times at time of receipt? Yes 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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or cor STu439659 <br /> iv 07/0212024 07:33:26 <br /> III 111 Il NI 111 ll 111111l111!l1111111!!111 <br /> STV2439659 <br />
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