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WP0043680
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043680
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Entry Properties
Last modified
8/31/2023 2:32:58 PM
Creation date
5/2/2023 1:55:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043680
PE
4378
STREET_NUMBER
26914
Direction
E
STREET_NAME
JONES
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
24718005
ENTERED_DATE
8/25/2022 12:00:00 AM
SITE_LOCATION
26914 E JONES RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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FGL Environmental Doc ID: 3DO900002 SOP 12.DOC <br /> Revision Date: 10/09/14 Page 1 of 1 <br /> Inter-L a ry Condition Upon Receipt (Attach to COC) <br /> Sample Receipt at: ST CC CH VI <br /> 1. Number of ice c e ac ages received: Shipping tracking# <br /> 2. Were samples received in a chilled condition? Temps: <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.) No <br /> 5. VOAs checked for Headspace? Ye No N/A <br /> 6. Were sample custody seals intact? Yes No / <br /> 7. If required, was sample split for pH analysis? Yes No N/ <br /> 8. Were all analyses within holding times at time of receipt? Vesarmr <br /> No <br /> 9. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock anpu same ice chest aples. <br /> Sample Receipt Review completed by(initials . <br /> Sample Receipt at SP: <br /> 1. Were samples received in a chilled condition? Temps: <br /> Acceptable is above freezing to 6❑ C. If many packages are received t one time check for tests/H.T.'s/rushes/ <br /> 2. Shipping tracking numbers: SS I� bi , 9M <br /> I'to 50 <br /> 3. Do the number of bottles received agree with the COC? Yves No N/A <br /> 4. Were samples received intact?(i.e. no broken bottles, leaks etc.) Yes- No <br /> 5. Were sample custody seals intact? Yes No 1/ <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? Ue No <br /> 2. Did bottle labels correspond with the client's ID's? Y.ea' No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No VIAI FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? (1W 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? Yev, eNo <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): NSC.,,, <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: - »P— - -- <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional coreSTU336962 <br /> contacts) iv 05131/2023 07:03:08 <br /> �l Ill Il��lll�llllll I�I�IIa pl I� <br /> STK2336962 <br />
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