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WP0044595
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044595
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Entry Properties
Last modified
9/30/2024 12:02:40 PM
Creation date
7/16/2024 10:44:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044595
PE
4380
STREET_NUMBER
17334
Direction
E
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24529029
ENTERED_DATE
5/31/2023 12:00:00 AM
SITE_LOCATION
17334 E COLONY RD
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 Conon Receipt (Attach to COC) � ���� ► <br /> Sample Receipt at: CC CH K VI <br /> 1. Number of ice chests/packages recel Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: �., <br /> 3. Were samples received on is Yes o Temps: 1- <br /> Surface water SWTR bact samples: mp 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 hours. <br /> 4. Do the number of bottles received agree with the COC? A� No <br /> No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks eNo <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 <br /> Sign and date the COC,place in a ziplock and put i e ice chest as amples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: i N"_2_ / <br /> 3. Were samples received on ice? �Y)e s:No Tem Pp <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? �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? es. No <br /> 2. Did bottle labels correspond with the client's ID's? (Ye§/ No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/ FGL <br /> iException:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? '-Y�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? Yed No <br /> Attach labels to the containers and include a copy of the COC for la 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 County EHO <br /> (Please use the back of this sheet for additional comments or cont STK2439661 <br /> iv 0710212024 07:33:08 <br /> �II1lIl�III�IIIf��0l�lllllll�if 1 <br /> STK2439661 <br />
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