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WP0041072
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041072
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Last modified
12/27/2021 11:33:44 AM
Creation date
7/28/2021 2:14:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041072
PE
4366
STREET_NUMBER
26801
STREET_NAME
CHEROKEE
City
GALT
Zip
95632-
APN
00511016
ENTERED_DATE
8/10/2020 12:00:00 AM
SITE_LOCATION
26801 CHEROKEE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-1.DOC <br /> Revision Date: 0/09/14 Page 1 of 1 <br /> Inter story Condition Upon Receipt (Attach to COC) NJM#�� <br /> Sample Rece'� tSTK CC CH VI <br /> 1. Number of I ackages received: _Shipping�tracking # <br /> 2. Were samples received in a chilled condition? Temps: 4,14 <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 r umber of bottles received agree with the COC? No N/A <br /> 4. Were sa nples received intact? (i.e. no broken bottles, leaks et es No <br /> 5. VOAs c iecked for Headspace? Yes No <br /> 6. Were sa nple custody seals intact? Yes No <br /> 7. If requir d, was sample split for pH analysis? Yes No <br /> 8. Were all analyses within holding times at time of receipt? o <br /> 9. Verify swriple date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and put in th same ice ches as e samples. <br /> Sample Recei t Review completed by (initials): <br /> Sample Rece pt at SP: <br /> 1. Were s pies received in a chilled condition? Temps: / r / �/ -3-/ <br /> Acceptab 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: a— <br /> 3. Do the r umber of bottles received agree with the COC? No N/A <br /> 4. Were s pies received intact? (i.e. no broken bottles, leaks etc.) 'Be 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 Verill ication, Labeling and Distribution: <br /> 1. Were al requested analyses understood and acceptable? No <br /> 2. Did bot e labels correspond with the client's ID's? 19No <br /> 3. Were al bottles requiring sample preservation properly preserved? � No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs c ecked for Headspace? Yes No (t <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 o the containers and include a copy of the COC for lab delivery. <br /> Sample Recei t, Login and Verification completed by (initials):_ <br /> DiscrepancyDocumentation: <br /> Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> 1. Person ontacted: Phone Number: <br /> Initiate By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person ontacted: <br /> Initiate By: San Joaquin oun y <br /> Problem: 13$243 <br /> Resolution: <br /> apb 0610912021 16:3647 r here <br /> Icont(Please use th back of this sheet for add <br /> acts) ����lII���III�IU�flut�f <br /> ` <br />
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