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WP2601504
EnvironmentalHealth
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COLLIER
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10226
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4200/4300 - Liquid Waste/Water Well Permits
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WP2601504
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Entry Properties
Last modified
7/15/2026 9:30:47 AM
Creation date
7/8/2026 10:58:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2601504
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
10226
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00730036
CURRENT_STATUS
Closed - Complete
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
10226 E COLLIER RD ACAMPO 95220
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 /> Inter-Laboratory Conditi on Receipt (Attach to COQ,, f J9105 <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 MTH319 <br /> 3. Were samples received on ice? (jpNo Temps:Surface water SWTR bact samples:A samat 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.) ENO <br /> 6. VOAs checked for Headspace? Yes No <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 the a ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP:1. Number of ice chests/packages received: Shipping tracking#(s)5(Dq�q03 13 lC � <br /> 2. Temp IR Gun ID #: 02�� <br /> 3. Were samples received on ice? G No Temps: ERE-kP dA <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/0 <br /> 4. 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.) es 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? te <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? �'es No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No JA <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? 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: - - - - DUi_.V%c,Ar»mher- <br /> Initiated By: (3017919) <br /> Problem: San Joaquin countyesolution, ENI) <br /> STK2639651 <br /> (Please use the back of this sheet for additional comments or c mdc 06/30/202617:05:01 <br /> [�I E[Illll[[E[E[IE�I�I[{EtEf If�[lE� <br /> STK2639651 <br />
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