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WP0043187
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SANTA CRUZ
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043187
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Entry Properties
Last modified
12/23/2024 1:23:22 PM
Creation date
8/26/2024 7:44:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043187
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
498
Direction
S
STREET_NAME
SANTA CRUZ
STREET_TYPE
CT
City
LINDEN
Zip
95236-
APN
09303074
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
498 S SANTA CRUZ CT LINDEN 95236-
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 /> r- <br /> Inter-Laboratory Cond' ' on Receipt (Attach to COC) 'IAIgA7 <br /> Sample Receipt at: CC CH K VI <br /> 1. Number of ice chests/packages receiv d: 1 Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: ++ ` <br /> 3. Were samples received on is Yes o Temps:l <br /> Surface water SWTR bact samples. that has a temperature upon receipt of >I 01 C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than two hours.-I., <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 a Yes No <br /> 6. VOAs checked for Headspace? Y o N/A <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 in Ae same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: S�l g y ($�� <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> L700 <br /> 2. Temp IR Gun ID#: -042&s - <br /> 3. Were samples received on ice? Cl No Temps: � L/ / / / <br /> Acceptable is above freezing to 6°C. If many 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 N/A <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/tests and print labels. <br /> Sample Verification,Labeling and Distribution: <br /> 1. Were all requested analyses understood and acceptable? (YzV No <br /> 2. Did bottle labels correspond with the client's ID's? Yes) No <br /> 3. Were all bottles requiring sample preservation properly preserved? Y� No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No &A <br /> 5. Have rush or project due dates been checked and accepted? Yes No Eh <br /> 6. Were all analyses within holding times at time of receipt? Ye J 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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or cont STU451927 <br /> jaw 081131202416:43:37 <br /> �II�II1JUi�111111111�11�1111�1� <br /> STK2451927 <br />
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