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WP0043521
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043521
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Last modified
9/30/2024 12:10:36 PM
Creation date
7/30/2024 9:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043521
PE
4366
STREET_NUMBER
21780
Direction
E
STREET_NAME
WALNUT
STREET_TYPE
DR
City
LINDEN
Zip
95236-
APN
09134004
ENTERED_DATE
7/22/2022 12:00:00 AM
SITE_LOCATION
21780 E WALNUT DR
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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L Environmental Doc ID:3D0900002_SOP_14.DOC <br /> IR vision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Cond' o on Receipt (Attach to COC) +C:V- )&5��? <br /> mple Receipt at: CC CH TK VI <br /> Number of ice chests/packages receiv d: Shipping tracking#(s): <br /> Temp IR Gun ID#: <br /> Were samples received on ice? Yes o Temps: <br /> Surface water SWTR bact samples:A 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? No N/A <br /> Were samples received intact?(i.e. no broken bottles, leaks etc. es No <br /> VOAs checked for Headspace? Ye N<2 <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 in te same ice ches amples. <br /> ample Receipt Review completed by (initials): <br /> ample Receipt at SP: <br /> Number of ice chests/packages received: Z% Shipping tracking#(s): SCS 17 2-(r,(,;,,-73 <br /> Temp IR Gun ID #:i "l�-�� <br /> 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/i.T.'s/rushes/ <br /> t. Do the number of bottles received agree with the COC? Yes- No N/A <br /> Were samples received intact?(i.e. no broken bottles, leaks etc.) ,Y� No <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? LY w" No <br /> Were all bottles requiring sample preservation properly preserved? es) No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in labl <br /> 4. VOAs checked for Headspace? Yes No N/ <br /> 5. Have rush or project due dates been checked and accepted? Yes No NA <br /> 6. Were all analyses within holding times at time of receipt? � No <br /> ttach labels to the containers and include a copy of the COC for lab delivery. <br /> Sample Receipt,Login and Verification completed by (initials): 1- <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 /> (P ase use the back of this sheet for additional comments or co: STC450653 <br /> law 07!18!202417:08:53 <br /> U11111111111111 <br /> STK2450M <br />
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