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WP0043744
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043744
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Entry Properties
Last modified
6/24/2024 3:06:37 PM
Creation date
5/29/2024 8:33:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043744
PE
4378
STREET_NUMBER
26684
Direction
E
STREET_NAME
VINE
STREET_TYPE
AVE
City
ESCALON
Zip
95320-
APN
22736008
ENTERED_DATE
9/2/2022 12:00:00 AM
SITE_LOCATION
26684 E VINE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
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 Condi 'on pon Receipt (Attach to COC) 3q� �(Q <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID t5&J__ <br /> 3. Were samples received on ice? Ye No Tempsl�I I I I <br /> Surface water S WTR bact samples:A samp a 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 ho <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? No <br /> 7. Were all analyses within holding times at time of receipt? a No <br /> 8. Verify sample date,time and sampler name No <br /> Sign and date the COC,place in a ziplock and put #- e s#ne 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): �61?13 l 01 <br /> 2. Temp IR Gun ID #: `'C1{Z V" 7C <br /> 3. Were samples received on ice? e No Temps. I I I I <br /> Acceptable is above freezing to 6°C. I y 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? 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? kye No <br /> 2. Did bottle labels correspond with the client's ID's? s No <br /> 3. Were all bottles requiring sample preservation properly preserved? ycs� No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes No l(Ug <br /> 6. Were all analyses within holding times at time of receipt? Kes 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): -1AX— <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 EHD <br /> (Please use the back of this sheet for additional comments or contact: STK2436559 <br /> iv 05/09/2024 06:59:38 <br /> Il l Ill 11 11 11 l 11 l 11 11 l 11 ll l 11 l l it 11 11 111 <br /> STK.2436559 <br />
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