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WP0040909
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HOMESTEAD
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040909
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Entry Properties
Last modified
12/27/2021 11:29:13 AM
Creation date
4/26/2021 10:09:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040909
PE
4366
STREET_NUMBER
145
Direction
E
STREET_NAME
HOMESTEAD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
23927009
ENTERED_DATE
6/25/2020 12:00:00 AM
SITE_LOCATION
145 E HOMESTEAD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-3.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter- 5spackages <br /> tory Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice threceived: Shipping tracking # <br /> 2. Were samples received in a chilled condition? Temps: 6•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.) ves <br /> No <br /> 5. VOAs checked for Headspace? No N/A <br /> 6. Were sample custody seals intact? Yes No <br /> 7. If required, was sample split for pH analysis? Yes No / <br /> 8. Were all analyses within holding times at time of receipt? 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 th same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: I <br /> 1. Were samples received in a chilled condition? Temps: <br /> p <br /> Acceptable is above freezing to 6D C. If many packa/the <br /> ived at one ti e check for tests/H .'s/rushes/ <br /> 2. Shipping tracking numbers- <br /> 3. <br /> N /> <br /> 3. Do the number of bottles received agree witOC? 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 <ZE2!5 <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? Yes No <ZS2r--_-3FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? � No N/A <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 COCab ry. <br /> Sample Receipt, Login and Verification completed by (initial <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: <br /> Problem: (3017919) <br /> Resolution: San Joaquin Counfy EHD <br /> (Please use the back of this sheet for additional c STK2133M <br /> a <br /> contacts) <br /> apb 03/03/2021 17:05:50 <br />
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