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WP0036982
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036982
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Entry Properties
Last modified
1/3/2022 1:19:19 PM
Creation date
9/27/2019 4:49:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036982
PE
4366
STREET_NUMBER
17200
Direction
W
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
20915023
ENTERED_DATE
8/2/2017 12:00:00 AM
SITE_LOCATION
17200 W BYRON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2019
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-Laboratory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice c c ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: del_ / l l l <br /> Surface water SWTR bact samples:A sample 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 /> 3. Do the number of bottles received agree with the COC? No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) �55 <br /> No <br /> 5. VOAs checked for Headspace? No <br /> 6. Were sample custody seals intact? Yes No QF <br /> 7. If required, was sample split for pH analysis? Yes No KD <br /> 8. Were all analyses within holding times at time of receipt? es No <br /> 9. Verify sample date,time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put in the sgMe ice chest as the samples. <br /> Sample Receipt Review completed by (initials <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6❑ C. If many packages are ceived at one time check f tests/H.T.'s/rushes/ <br /> 2. Shipping tracking num ers: 1/ if /J <br /> 15D / 70v� <br /> 3. Do the number o� les rec i�'vth the COC? e No N/A <br /> g <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) e No <br /> 5. Were sample custody seals intact? Yes No 1 I� , <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? No <br /> 2. Did bottle labels correspond with the client's ID's? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? es No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/A <br /> 6. Were all analyses within holding times at time of receipt? Yes No <br /> Attach labels to the containers and include a copy of the COC fo 1 i <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: nh^no XT'.__1_- <br /> Initiated By: (3617919) CHS <br /> Problem: San JQanu�� County 6 <br /> Resolution: STK2134563 <br /> (Please use the back of this sheet for additional cor. apt) 041071202116:43:51 <br /> contacts) III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� <br />
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