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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BYRON
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14222
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1600 - Food Program
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PR2500003
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
1/7/2025 4:13:10 PM
Creation date
1/7/2025 4:12:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2500003
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0001732
FACILITY_NAME
SALTYY'S CAKES
STREET_NUMBER
14222
Direction
W
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
14222 W BYRON RD TRACY 95304
Tags
EHD - Public
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FGL Environmental <br />Doc ID: 3D0900002_SOP_14.DOC <br />Revision Date: 10/10/23 <br />Page 1 of 1 <br /> <br />Inter-Laboratory Condit on Receipt (Attach to COC) ogii-554164. <br />Sample Receipt at: CC CH VI <br />1. Number of ice chests/packages receive • Shipping tracking #(s): <br />Temp IR Gun ID #: kit <br />Were samples receive on ice? Yes No Temps: itif / <br />Surface water SWTR bact samples: A sample 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 />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. No <br />VOAs checked for Headspace? No <br />Were all analyses within holding times at time of receipt? No <br />Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put ii45 sarre ice ches as e samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: SG7.-r7izti-15 Number of ice chests/packages received: Shipping tracking #(s): <br />Temp IR Gun ID #: <br />( Were samples received on ice? Yd No Temps: / <br />Acceptable is above freezing to 6°C. If rfiiy packages are received at one time check for tests/H.T.'s/rushes/ <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.) No <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br /> Were all requested analyses understood and acceptable? fl No <br /> Did bottle labels correspond with the client's ID's? No <br /> Were all bottles requiring sample preservation properly preserved? Yes No <br />[Exception: Oil & Grease, VOA and CrVI verified in lab] <br /> VOAs checked for Headspace? Yes No <br /> Have rush or project due dates been checked and accepted? Yes) No <br /> Were all analyses within holding times at time of receipt? CteW 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: Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />Th 19 C Saltedafe <br />STK2455961 (Please use the back of this sheet for additional comments or con <br />i 10/24/2024 15 59:2 <br />111111111! <br />FGL
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