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WP0040537
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040537
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Last modified
12/27/2021 11:13:01 AM
Creation date
8/20/2021 11:15:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040537
PE
4366
STREET_NUMBER
9401
STREET_NAME
BIEDERMAN
STREET_TYPE
WAY
City
ESCALON
Zip
95320-
APN
20519021
ENTERED_DATE
2/19/2020 12:00:00 AM
SITE_LOCATION
9401 BIEDERMAN WAY
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: 3DO900002_SOP_12-1.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-J.almr,atory Condition Upon Receipt (Attach to COC) ,-71F-0 7� <br /> Sample Receipt a STK CC CH VI <br /> 1. Number of ice ages received: _Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: 3 I/ / / / <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 e No <br /> 5. VOAs checked for Headspace? Yes N <br /> 6. Were sample custody seals intact? Yes <br /> 7. If required, was sample split for pH analysis? s N <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date, time and sampler name No <br /> Sign and date the COC, place in a ziplock and puti the ame ice the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: a/ 60 <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 /> 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.) es No <br /> 5. Were sample custody seals intact? Yes No /A <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? e 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? e No N/A FGL <br /> (Exception:Oil&Grease,VOA and CrV1 verified in labl <br /> 4. VOAs checked for Headspace? Yes No <br /> QZA- <br /> 5. Have rush or project due dates been checked and accepted? Yes No <M7 <br /> 6. Were all analyses within holding times at time of receipt? 'gyo 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):'C -ay <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 En <br /> Problem: <br /> Resolution: STK2150747 <br /> (Please use the back of this sheet for additional apb 07/29/202(I1 16:14:59 .e <br /> contacts) Illllllllllllllllllllllfllllllllllllllll �' <br />
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