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WP0042835
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042835
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Entry Properties
Last modified
2/12/2024 11:00:38 AM
Creation date
3/16/2022 10:37:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042835
PE
4366
STREET_NUMBER
2758
Direction
E
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01323008
ENTERED_DATE
12/14/2021 12:00:00 AM
SITE_LOCATION
2758 E WOODBRIDGE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_MDOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory ConditiouXpon Receipt (Attach to COC) 4# o 9�4g <br /> Sample Receipt at: CC CHT VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: U,u 3 <br /> 3. Were samples received ice? (Yo No Temps: <br /> Surface water SWTR bact samples:A sa5ple 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 /> 4. Do the number of bottles received agree with the COC? SNo No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name <br /> Sign and date the COC,place in a ziplock and put in tl ame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: f <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): J <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? es No Temps:/ <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? es No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) es 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? Oes <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? NoQI FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? ef FD No N/A <br /> 5. Have rush or project due dates been checked and accepted? V es No (9 <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 /> qk.....-,e 1-01 <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 County END <br /> (Please use the back of this sheet for additional comments c STK2430948 <br /> iv 01/1712024 08:41:22 <br /> Illl�lll�lll��l11�1111�111�111�11� <br /> STK?4V, NS <br />
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