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WP0041113
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041113
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Entry Properties
Last modified
12/19/2024 3:48:19 PM
Creation date
7/30/2024 9:50:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041113
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
22562
Direction
S
STREET_NAME
BIRD
STREET_TYPE
AVE
City
TRACY
Zip
95304-
APN
23908067
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
22562 S BIRD AVE TRACY 95304-
Tags
EHD - Public
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GL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditi on Receipt (Attach to COC) AJ�Oolr'a <br /> Sample Receipt at: CC CHVI <br /> f <br /> 1. Number of ice chests/packages receiv d: �_ Shipping tracking#(s): <br /> Temp IR Gun ID#: ` <br /> 3. Were samples received on ice. Yes No Temps: <br /> Surface water SWTR bact samples:A e 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 /> 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 /> 3. VOAs checked for Headspace? No N/A <br /> Were all analyses within holding times at time of receipt? No <br /> 3. Verify sample date,time and sampler name Yes No <br /> ign and date the COC,place in a ziplock and put in t e same ice chest as the samples. <br /> ample Receipt Review completed by (initials): <br /> Sample Receipt at SP: Ca <br /> Number of ice chests/packages received: D Shipping tracking#(s): 5(ol&P 7145 <br /> 2. Temp IR Gun ID #:-T&2s- <br /> 3. <br /> Were samples received on ice? DYe No Temps:�c, <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 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.) No <br /> ign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> Were all requested analyses understood and acceptable? (Yew No <br /> 2. Did bottle labels correspond with the client's ID's? tY.ee No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No I N/ FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> Have rush or project due dates been checked and accepted? Yes No N/ <br /> 3. Were all analyses within holding times at time of receipt? Ye No <br /> ttach labels to the containers and include a copy of the COC for lab delivery. <br /> ample Receipt, Login and Verification completed by (initials): �L <br /> iscrepancy Documentation: <br /> y items above which are"No"or do not meet specifications (i.e. temps) must be resolved. <br /> 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 CountyEHO <br /> (Ple a use the back of this sheet for additional comments or con STK2450036 <br /> mdc 07/101202410:43:51 <br /> Ill Ill 11 11 llllllllli�lllllllll�lllllll <br /> STK2458036 <br />
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