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WP0044003
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044003
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Entry Properties
Last modified
8/1/2024 8:01:45 AM
Creation date
7/30/2024 9:50:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044003
PE
4366
STREET_NUMBER
27215
STREET_NAME
EDWARDS
STREET_TYPE
AVE
City
ESALON
Zip
95320-
APN
20721013
ENTERED_DATE
10/31/2022 12:00:00 AM
SITE_LOCATION
27215 EDWARDS AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> L <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC)&::, 99407 <br /> Sample Receipt at: CC CH S K Vt <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? Yes No Temps:V3-I <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >100 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 NIA <br /> 5. Were samples received intact? (i.e. no broken bottles,leaks etc.) a No <br /> 6. VOAs checked for Headspace? No WA <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name It No <br /> Sign and date the COC,place in a ziplock and pu in the a 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: 2. Shipping tracking#(s): -1 v62 <br /> 2. Temp IR Gun ID#: G <br /> 3. Were samples received on ice? Ce No Temps: <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushest <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.) Be 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? a No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Q"je No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No / <br /> 5. Have rush or project due dates been checked and accepted? Yes No / <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: — -- - - - <br /> Problem: (3017919) <br /> Resolution: San Joaquin County ENo <br /> STK2439929 <br /> (P ease use the back of this sheet for additional comments or c iv 07/09/2024 06:59:13 <br /> Ill IllitbJlllllllllll�l111llllllllll�� <br /> ;7K24S4929 <br />
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