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WP0043366
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043366
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Entry Properties
Last modified
6/4/2026 9:58:00 AM
Creation date
9/2/2025 9:47:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043366
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
6156
Direction
E
STREET_NAME
ASHLEY
STREET_TYPE
LN
City
STOCKTON
Zip
95212-
APN
08672002
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
6156 E ASHLEY LN STOCKTON 95212-
Tags
EHD - Public
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FGL Environmental Doc ID: 3DO900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Condit0ay.14pon Receipt (Attach to COC), 6W3 '8b <br /> Sample Receipt at: CC CHI VI <br /> 1. Number of ice chests/packages received: f Shipping tracking #(s): ; <br /> 2. Temp IR Gun ID #:TH319 Q <br /> 3. Were samples received on ice? ONO Temps:/• <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 /> 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.) No <br /> 6. VOAs checked for Headspace? Yes No (NLAY <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name No <br /> Sign and date the COC,place in a ziplock and put in t e same ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP:1. Number of ice chests/packages received: —�— Shipping tracking #(s): y <br /> 2. Temp IR Gun ID #: :OR y <br /> 3. Were samples received on ice �e> No Temps: <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.) Ye 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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No N/A FGL <br /> lException:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No &NA <br /> 5. Have rush or project due dates been checked and accepted? s No <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 for lab deli <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: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: (30179191 <br /> San Joaquin County NO <br /> (Please use the back of this sheet for additional comments or cc STU6359180 <br /> mdc 04128/2026 16:46:14 <br /> III STK2 III�dlllllllllll�lllll 111 111 <br /> STK26S5900 <br />
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