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WP0041147
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041147
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Entry Properties
Last modified
12/27/2021 11:35:38 AM
Creation date
4/14/2021 9:13:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041147
PE
4366
STREET_NUMBER
2911
STREET_NAME
GUERNSEY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205-
APN
15713028
ENTERED_DATE
8/25/2020 12:00:00 AM
SITE_LOCATION
2911 GUERNSEY AVE
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
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- ory Condition Upon Receipt (Attach to COC) �17 <br />Sample Receipt at: ST C CH VI <br />1. Number of ice c packages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: 3• � / / / / <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 et e 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?e 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 he same ice chest as e 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 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: <br />U7 <br />3. Do the number of bottles received agree with the COC? e No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br />5. Were sample custody seals intact? Yes 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? e 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 labl <br />4.. VOAs checked for Headspace? Yes No <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? D 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: (3017919) <br />Initiated By: San Joaquin County END <br />Problem: <br />Resolution: STK2132127 <br />(Please use the back of this sheet for additional re <br />contacts) apb 021111202116:21:54 — <br />
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