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WP2501002
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP2501002
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Entry Properties
Last modified
3/26/2026 11:21:56 AM
Creation date
8/20/2025 7:43:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2501002
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
9922
Direction
W
STREET_NAME
HOWARD
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
18916022
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
9922 W HOWARD RD STOCKTON 95206
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 11p <br /> Inter-Laboratory Con4w-IM�on Receipt (Attach to Cop �/p� 05 < <br /> Sample Receipt at: CC CH �T VI , <br /> 1. Number of ice chests/packages received: __�_ Shipping tracking #(s): <br /> 2. Temp IR Gun ID #:TH319 2 8 <br /> 3. Were samples received on ices Yes No Temps: <br /> Surface water SWTR bact samples: 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 <br /> 4. Do the number of bottles received agree with the COC? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc. Yes o <br /> 6. VOAs checked for Headspace? N <br /> s o N/A <br /> 7. Were all analyses within holding times at time of receipt? Yes No <br /> 8. Verify sample date, time and sampler name es No <br /> Sign and date the COC, place in a ziplock and put i Ice chest as t e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt is S <br /> 1. Number of ice chh <br /> ests/packages received: Shipping tracking#�✓��42,Z (,J3 <br /> 2. Temp IR Gun ID #:1� p <br /> 3. Were samples received on ice? es No Tem s: <br /> Acceptable is above freezing to 6°C. If y 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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) es 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? fes <br /> No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> lException:Oil&Grease,VOA and CrVI verified in lab] <br /> 4. VOAs checked for Headspace? Yes No A <br /> 5. Have rush or project due dates been checked and accepted? Yes No f/A <br /> 6. Were all analyses within holding times at time of receipt? e No <br /> Attach labels to the containers and include a copy of the COC f dpliv <br /> Sample Receipt, Login and Verification completed by (initials)—k, <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: — - n fo• — — <br /> Problem: (3017919) <br /> Resolution San Joaquin County END 1 <br /> (Please use the back of this sheet for additional comments STK2633685 J <br /> iv p0311N9/2026 07:46:33 <br /> IIIIIIINIIIIIIIIIIIIIIIIIIIIIII�IIIII <br />
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