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WP0044872
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044872
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Entry Properties
Last modified
2/5/2026 10:12:18 AM
Creation date
1/12/2026 11:13:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044872
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
20996
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02305015
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
20996 E ACAMPO RD CLEMENTS 95227-
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 /> Inter-Laboratory Condit <br /> on Receipt (Attach to COC).."Zo <br /> Sample Receipt at: CC CH (St VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:TH319 , <br /> 3. Were samples received on ice? es o Temps: <br /> Surface water SWTR bact samples: A sample that has a temperature upon receipt of Tl0- 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? CiD No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? 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 Yes No <br /> Sign and date the COC, place in a ziplock and put in e e ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: �7 �// <br /> 1. Number of ice chests/packages received: Shipping tracking#(s L 3 D I/ <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? e No Temps: <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? s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) PC s 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? s No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No b /' FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Ps No N/A <br /> 5. Have rush or project due dates been checked and accepted? es No Z/'A <br /> 6. Were all analyses within holding times at time of receipt? res 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: (3017919) <br /> Resolution: San Joaquin County END <br /> (Please use the back of this sheet for additional comments or cc STK2531245 <br /> iv 01129/2026 07:34:55 <br /> IIIIIIIIIIIIIIIIIIII <br />
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