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WP0044138
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044138
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Entry Properties
Last modified
8/5/2024 2:42:23 PM
Creation date
6/24/2024 7:56:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044138
PE
4380
STREET_NUMBER
23685
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00738024
ENTERED_DATE
12/8/2022 12:00:00 AM
SITE_LOCATION
23685 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
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 Cond' ' n on Receipt (Attach to COC) �l�l I <br /> Sample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages recei d: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #. <br /> 3. Were samples received on ice? Y s No Temps:/ <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 hou . <br /> 4. Do the number of bottles received agree with the COC? s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) a No <br /> 6. VOAs checked for Headspace? No <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name s No <br /> Sign and date the COC,place in a ziplock and p in t same 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: �L Shipping tracking#(s): 5 5 77 <br /> 5y71 <br /> 2. Temp IR Gun ID#: <br /> 3. Were samples received on ice? es 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? Ycs, No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yee 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? mss. No <br /> 2. Did bottle labels correspond with the client's ID's? Yes- No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No1/ FGL <br /> lExcept;on:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? iKes No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No N/ <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: Date: <br /> Problem: <br /> Resolution: (3017919) <br /> San Joaquin CounWEHD <br /> (Please use the back of this sheet for additional comments or co STU438271 <br /> jaw 061061202416:58:07 <br /> III I�III Il)�Iflilllllfl�ll�l�llllf 111 <br /> STK2438271 <br />
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