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WP0044873
Environmental Health - Public
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SIERRA VIEW
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044873
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Entry Properties
Last modified
12/19/2024 4:31:09 PM
Creation date
6/7/2024 9:28:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044873
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
19007
Direction
E
STREET_NAME
SIERRA VIEW
STREET_TYPE
CT
City
CLEMENTS
Zip
95227-
APN
01926060
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
19007 E SIERRA VIEW CT CLEMENTS 95227-
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 ConM on Receipt (Attach to COC)Sample Receipt at: CC CHVI <br /> 1. Number of ice chests/packages received: l Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ice. Yes No Temps: I I I I <br /> Surface water SWTR bact samples:A sample that has a temperature upon receipt of >100 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. es No <br /> 6. VOAs checked for Headspace? No NIA <br /> 7. Were all analyses within holding times at time of receipt? Yes No <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put i same ice chest as t e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): �W /M'7 P <br /> 2. Temp IR Gun ID #:`04246�� <br /> 3. Were samples received on ice? Ye No Temps: <br /> Acceptable is above freezing to 6°C. If many 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? Y_ev No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yss-- 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? Yeses No <br /> 2. Did bottle labels correspond with the client's ID's? YesJ No <br /> 3. Were all bottles requiring sample preservation properly preserved? (,Y, W No N/A FGL <br /> ]Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No k h A/- , <br /> 5. Have rush or project due dates been checked and accepted? Yes No VD.J <br /> 6. Were all analyses within holding times at time of receipt? Yeo 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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin CountyEHD <br /> (Please use the back of this sheet for additional comments or cont. ST9437645 <br /> iv 05/29/2024 07:05:55 <br /> III II!1161II111111�iI111111�111 h'1 Ill <br /> STK2437645 <br />
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