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WP0039685
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039685
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Entry Properties
Last modified
8/19/2024 9:20:36 AM
Creation date
10/22/2019 2:37:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039685
PE
4366
STREET_NUMBER
24478
Direction
N
STREET_NAME
JAHANT
STREET_TYPE
CT
City
ACAMPO
Zip
95220-
APN
00740033
ENTERED_DATE
6/11/2019 12:00:00 AM
SITE_LOCATION
24478 N JAHANT CT
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
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 Conditio C) �• <br /> on Receipt (Attach to COQ <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 #• <br /> 3. Were samples rec iv on ice? es No Temps: <br /> Surface water SWTR bact samples:A samp a 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 /> 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 /> 6. VOAs checked for Headspace? Yes 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 es No <br /> Sign and date the COC,place in a ziplock and put in the s e ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 6(1�Lp(D J 201 <br /> 2. Temp IR Gun ID#: rt ,P 11.P <br /> 3. Were samples received on ice? I 3e 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? Re <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? keNo <br /> 3. Were all bottles requiring sample preservation properly preserved? Ice, No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No tLq <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? es 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: aCounty San Joa uin EHD <br /> (Please use the back of this sheet for additional comments or conta STP439238 <br /> jaw 061201202416:35:18 <br /> STK2439238 <br />
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