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WP0042852
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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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FGL Environmental Doc ID:3D0M0026._SOP 14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> linter-Laboratory Condit* pon Receipt (.Attach to COQ aq S^(Dcr),-q- <br /> Sample Receipt at: CC CH <br /> T111 <br /> Vt <br /> 1. Number of ice chests/packages receiv Shipping tracking#(s): <br /> 2. Temp IR Guri ID <br /> #f- fod- <br /> 3. Were samples received on ice? GSD No Temps: <br /> / / I <br /> Surface water SWTR batt samples:A sample 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. V OAs checked for Headspace? Y No <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put ' th 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): `� <br /> 2. Temp IR Gun ID#: Lill <br /> 3. Were samples received on ice? es No Temps- <br /> Acceptable is above freezing to d°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? No NIA <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) a No <br /> Sign and date the COC, obtain LIMS sample numbers, select methods/tes 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? e No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labs <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Ye No / <br /> 6. Were all analyses within holding times at time of receipt? s No <br /> Attach labels to the containers and include a copy of the COC for lab elivery. <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 Mill u--- <br /> Initiated By: (3017919) <br /> Problem: Count END <br /> Resolution: San Joaquin <br /> STW245QN1 ---I <br /> (Please use the back of this sheet for additional comment iv 0711512024 07:29:45 <br /> �111111�11�11�U�1 'U <br /> a11�11� <br /> grK2458293 <br />
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