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WP0042957
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042957
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Entry Properties
Last modified
6/3/2024 1:25:06 PM
Creation date
7/20/2023 3:58:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042957
PE
4378
STREET_NUMBER
14230
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20306008
ENTERED_DATE
2/7/2022 12:00:00 AM
SITE_LOCATION
14230 E FRENCH CAMP RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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FGL Environmental Doc ID:3DO900002_SOP_14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' pon Receipt (Attach to COC)�� yr*Y� <br /> Sample Receipt at: CC CH STK VI <br /> 1. Number of ice chests/packages recei Shipping tracking#(s): <br /> 2. Temp IR Gun ID# <br /> 3. Were samples received on ice? a No Temps. <br /> Surface water SWTR bact samples: A sample that has a temperatu a 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? No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? Y No No <br /> 7. Were all analyses within holding times at time of receipt? s No <br /> 8. Verify sample date,time and sampler name a No <br /> Sign and date the COC,place in a ziplock and put ' th ame ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): �5U 15 {��-�- <br /> 551?)"6-9515Uq <br /> 2. Temp IR Gun ID #:33ig 5(.p13�S(�CP�� <br /> 3. Were samples received on ice? G69 No Temps: °c / 1 "c. / ,c <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check for tests/I-I.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Fa No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) 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? Pes <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? No N/A FGL <br /> (Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No L/14 <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 to the containers and include a copy of the COC for lab delivery. <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 /> 2. Person Contacted: Phone Number: <br /> Initiated By: - - n... - --- <br /> Problem: (3017919) <br /> Resolution: San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or con* 7 <br /> iv 05/08/2024 08:29:11 <br /> 1111111111111119111 <br /> STK2436427 <br />
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