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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
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 Cond' ' on Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI ` <br /> 1. Number of ice chests/packages received: �_ Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ' ? Yes o Temps: <br /> p <br /> Surface water SWTR bact sample . 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 than two rs. <br /> 4. Do the number of bottles received agree with the COC? e No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks a No <br /> 6. VOAs checked for Headspace? --es No N/A <br /> 7. Were all analyses within holding times at time of receipt? es No <br /> S. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in a ice ches a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: c� <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> Z� <br /> 2. Temp IR Gun ID#: �It7�1�&S S <br /> 3. Were samples received on ice? 3Ye No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/1-I.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? �s No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yee 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? (Yeses No <br /> 2. Did bottle labels correspond with the client's ID's? V-es' No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes NoFGL <br /> [Exception:Oil&Grease,VOA and CM verified in labj <br /> 4. VOAs checked for Headspace? (Yes,,- No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <br /> 6. Were all analyses within holding times at time of receipt? Ye� No <br /> Attach labels to the containers and include a copy of the COC forlalb 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 /> ate: <br /> Problem: (3017919) <br /> Resolution: <br /> San Joaquin County END <br /> (Please use the back of this sheet for additional comments or contai STK2439660 <br /> iv 07/02/2024 07:33:02 <br /> �l Ill Il 11 III�IIIIIl�1lll�llll I>I�1 <br /> STK2439660 <br />
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