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WP0042852
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042852
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Entry Properties
Last modified
12/19/2024 3:00:26 PM
Creation date
7/30/2024 9:44:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042852
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
6800
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
FRENCH CAMP
Zip
95231-
APN
19307013
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
6800 S EL DORADO ST FRENCH CAMP 95231-
Tags
EHD - Public
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PGL!Environmental Doc ID:3D0900002 SOP 14.DOC <br /> Revision Date: 10/10/23 _ Page i of 1 <br /> Enter-Laborator'y Condi ' ponn receipt (Attach to COQaq. S-0&3-- <br /> Sample Receipt at: CC CH ST V1 <br /> 1. Number of ice chests/packages receive . Shipping tracking#(s): <br /> 2. Temp IR Guri ID Xawck- <br /> 3. Were samples received on ice? Yes No Temps:\L <br /> Surface water SWTR bact samples:A sample 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? e No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? s No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name a No <br /> Sign and date the COC,place in a Ziplock and put in the ame 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): <br /> 4 OL <br /> 2. Temp IR Gun ID#: <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 d 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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes NoFGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab! -(2) <br /> 4. VOAs checked for Headspace? <40 No N A <br /> S. Have rush or project due dates been checked and accepted? Ye No d5k <br /> 6. Were all analyses within holding times at time of receipt? a 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 /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: (3017919 <br /> Initiated By. <br /> Problem: San Joaquin County EHO <br /> Resolution: STK2450297 <br /> lv 07!1512024 07:29:18 here <br /> (Please use the back of this sheet for additional con �11�11�1111111i11l1111111�1111111� <br /> 57K2456M <br />
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