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WP0043780
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043780
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Entry Properties
Last modified
8/12/2024 8:43:01 AM
Creation date
4/12/2024 11:07:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043780
PE
4366
STREET_NUMBER
23197
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00716010
ENTERED_DATE
9/15/2022 12:00:00 AM
SITE_LOCATION
23197 N TRETHEWAY 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_MDOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit' on Receipt (Attach to COC) W 14JFYOI <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID <br /> 3. Were samples rece ve n ice? es o Temps: <br /> Surface water SWTR bact samples:A s e that has a temperature upon receipt of >l0°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.) lesamples. <br /> 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 No <br /> Sign and date the COC,place in a ziplock and put in the a ice chest a <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): 5(o/ 57 v3 S CO <br /> 2. Temp IR Gun ID#: (0c,3. Were samples received on ice? es No Temps: <br /> Acceptable is above freezing to 6C. If many packages are e received at one time check for tests/H.T.' <br /> s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? Yw No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes,/ 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? 'Ye No <br /> 2. Did bottle labels correspond with the client's ID's? Yx4 No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No LNC FGL <br /> lException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? q-es.,/ 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? <br /> cY� 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): k-x_ <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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin County EHO <br /> (Please use the back of this sheet for additional comments or con STU438831 <br /> iv 0611412024 06:43:27 <br /> al I�II��l�llllllll�llall�lll� <br /> STK2438851 <br />
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