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WP2501139
EnvironmentalHealth
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MANILA
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4200/4300 - Liquid Waste/Water Well Permits
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WP2501139
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Entry Properties
Last modified
1/29/2026 11:16:05 AM
Creation date
10/28/2025 7:47:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2501139
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
891
STREET_NAME
MANILA
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19126003
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
891 MANILA RD LATHROP 95330
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 ConditioiLUpon Receipt (Attach to COQ a55 g0z$3 <br /> Sample Receipt at: CC CH VI <br /> 1. Number of ice chests/packages received: �_ Shipping tracking #(s): <br /> 2. Temp IR Gun ID #:TH319 <br /> 3. Were samples received on ice? es No Temps:_LU <br /> Surface water SWTR bact samples:A s e that has a temperature upon receipt of 710°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? ffe <br /> No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? No /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name a No <br /> Sign and date the COC,place in a ziplock and put in the same ice chest as e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: 5��$6 SL <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: ��Z V / <br /> 3. Were samples received on ice. Ye No Temps: <br /> Acceptable is above freezing to 6°C. I 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? -e 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? No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? fesNo N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No <br /> 5. Have rush or project due dates been checked and accepted? Yes 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 delivw.. <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: (3017919) <br /> Resolution: San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or co: S 1 U558283 <br /> iv 12103/2025 06:29:52 <br /> IIIINIII'IIIIIIIIIIIIIIIIIIIIIIINiilll <br />
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