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WP0044737
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044737
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Entry Properties
Last modified
9/30/2024 11:21:40 AM
Creation date
7/30/2024 9:45:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044737
PE
4366
STREET_NUMBER
6500
Direction
N
STREET_NAME
DUNCAN
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09124033
ENTERED_DATE
8/8/2023 12:00:00 AM
SITE_LOCATION
6500 N DUNCAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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L Environmental Doc ID:3DO900002_SOP_14.DOC <br /> vision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Cond' ' on Receipt (Attach to COC) <br /> mple Receipt at: CC CH TK VI <br /> 1 Number of ice chests/packages receive Shipping tracking#(s): <br /> Temp IR Gun ID#: <br /> Were samples received on ice? es o Temps: <br /> Surface water SWTR bact samples: at 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 /> Do the number of bottles received agree with the COC? 4amssamples. <br /> No N/A <br /> Were samples received intact? (i.e. no broken bottles, leaks etNo <br /> VOAs checked for Headspace? No N/A <br /> Were all analyses within holding times at time of receipt? No <br /> Verify sample date,time and sampler name No <br /> ign and date the COC,place in a ziplock and put ' ame ice c <br /> ample Receipt Review completed by (initials): <br /> ample Receipt at SP: <br /> Number of ice chests/packages received: Shipping tracking#(s): S C0 7 �3 <br /> U v�� <br /> Temp IR Gun ID #: r D� <br /> Were samples received on ice?\ ' ny� No Temps: <br /> Acce table is above freezing to 6°C. irnpackages are received at onetime check for tests/H.T.'s/rushes/ <br /> P g <br /> Do the number of bottles received agree with the COC? Y <br /> es No N/A <br /> Were samples received intact? i.e.no broken bottles, leaks etc. No <br /> p ( ) <br /> ign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br /> ample Verification,Labeling and Distribution: <br /> Were all requested analyses understood and acceptable? .Yes No <br /> Did bottle labels correspond with the client's ID's? CYes-- No <br /> Were all bottles requiring sample preservation properly preserved? Yes No kN/AAS FGL <br /> lException:Oil&Grease,VOA and CrVI verified in labl <br /> VOAs checked for Headspace? LYes----'No N/A <br /> Have rush or project due dates been checked and accepted? Yes No `ATI <br /> Were all analyses within holding times at time of receipt? es No <br /> ttach labels to the containers and include a copy of the COC for lab delivele. <br /> ample Receipt,Login and Verification completed by (initials): <br /> Discrepancy Documentation: <br /> ny 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 /> (Pl ase use the back of this sheet for additional comments or cons STU450654 <br /> jaw 071181202417:09:00 <br /> �I l���ill��lll1f11l�llflll1111111 <br /> STK2450654 <br />
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