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WP0041351
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041351
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Entry Properties
Last modified
12/27/2021 1:55:02 PM
Creation date
12/10/2020 3:53:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041351
PE
4370
STREET_NUMBER
11518
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20110005
ENTERED_DATE
10/16/2020 12:00:00 AM
SITE_LOCATION
11518 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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YUL Environmental Doc ID: 3DO900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-La tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: TK CC CH VI <br /> 1. Number of ice chests/packages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <br /> Surface water S WTR bact samples: A sample that has a temperature upon receipt of >I 0*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? es No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? No <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. 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: <br /> 1. Were samples received in a chilled condition? Temps: J / 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 /> 2. Shipping tracking numbers: 15-13-1 I ," , r <br /> 3. Do the number of bottles received agree with the COC? XZNo N/A <br /> 4. Were samples received intact? (i.e. no broken bottles, leaks etc.) Y�} No <br /> 5. Were sample custody seals intact? I-9 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? �g No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? s No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in lab[ <br /> 5 <br /> 4. VOAs checked for Headspace? Yes No T� <br /> 5. Have rush or project due dates been checked and accepted? Yes No Nz?�:) <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: <br /> Initiated By: (3017919) <br /> Problem: San Joaquin County EHD <br /> Resolution: <br /> (Please use the back of this sheet for additional cc STK 132062 <br /> contacts) iv 02/10/2021 15:51:56 <br />
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