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WP0042496
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042496
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Entry Properties
Last modified
7/20/2023 4:28:16 PM
Creation date
3/24/2023 10:45:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042496
PE
4370
STREET_NUMBER
19315
Direction
S
STREET_NAME
MURPHY
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24504016
ENTERED_DATE
8/30/2021 12:00:00 AM
SITE_LOCATION
19315 S MURPHY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID:3D0900002_SOP_12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-LL ry Condition Upon Receipt (Attach to COC) of vez��0� <br /> Sample Receipt a • STK C CH VI <br /> 1. Number of' c ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: q ► / / / / <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. es No <br /> 5. VOAs checked for Headspace? Yes No <br /> 6. Were sample custody seals intact? Yes N <br /> 7. If required, was sample split for pH analysis? N <br /> 8. Were all analyses within holding times at time of receipt? No <br /> 9. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the same ice ches as a samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: Cil cel ct491�/ <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. Shippin trackingnnnffumbers: <br /> Pf V('/i <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.) e No <br /> 5. Were sample custody seals intact? Yes No (IS/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? (GY No <br /> 2. Did bottle labels correspond with the client's ID's? QCgA No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No 4t <br /> 5. Have rush or project due dates been checked and accepted? Ye No <br /> 6. Were all analyses within holding times at time of receipt? s No <br /> Attach labels to the containers and include a copy of the COC for lab livery. <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 /> (3017919) <br /> 2. Person Contacted: San Joaquin CountyEND <br /> Initiated By: <br /> Problem: STU332026 <br /> Resolution: iv 02/14/202310:24:09 <br /> Please use the back of this sheet for additiona� 1111111lI!10l11111111l111i1lll�ili11 re <br /> (Please <br /> contacts) <br />
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