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WP0043266
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043266
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Entry Properties
Last modified
8/19/2024 8:59:30 AM
Creation date
7/22/2024 4:20:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043266
PE
4370
STREET_NUMBER
21601
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10522007
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
21601 E COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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GL Environmental Doc ID:3DO900002 SOP 14.DOC <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Conditio pon Receipt (Attach to COC) <br /> ample Receipt at: CC CH ST VI <br /> 1. Number of ice chests/packages received: l Shipping tracking #(s): <br /> 2. Temp IR Gun ID#: 7 <br /> 3. Were samples receiv d ice? es No Temps:��' <br /> Surface water SWTR bact samples:A s at has a temperature upon receipt of >I 00 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? o N/A <br /> Were samples received intact?(i.e. no broken bottles, leaks etc.) 9E�o <br /> 6. VOAs checked for Headspace? Yes No /A <br /> . Were all analyses within holding times at time of receipt? JZ No <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put in the sice chest as the samples. <br /> ample Receipt Review completed by (initials): _J <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: 3 Shipping tracking#(s): ; <br /> Temp IR Gun ID #: (;-u 1 <br /> 3. Were samples received on ice? ev <br /> No Temps: <br /> Acceptable is above freezing to 6°C. If 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? es No N/A <br /> 5. Were samples received intact?(i.e. no broken bottles, leaks etc.) a 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? a No <br /> 2. Did bottle labels correspond with the client's ID's? a No <br /> 3. Were all bottles requiring sample preservation properly preserved? e 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 / <br /> Were all analyses within holding times at time of receipt? s No <br /> Attach labels to the containers and include a copy of the COC for lab livery. <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: (3017919) <br /> Initiated B in Countyy San Joaqu <br /> Problem: STUO 65 <br /> Resolution: M4397 <br /> law 071021202417:35:48 <br /> 111111111111M <br /> (Ple ise use the back of this sheet for additional comments or coni STK2439765 <br />
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