My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2025
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PARADISE
>
18481
>
1600 - Food Program
>
PR0537882
>
COMPLIANCE INFO_2025
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/7/2026 9:00:55 AM
Creation date
1/7/2026 8:59:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0537882
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0020758
FACILITY_NAME
ANNAS IRRESISTIBLES
STREET_NUMBER
18481
STREET_NAME
PARADISE
STREET_TYPE
RD
City
TRACY
Zip
95304-9421
APN
23505509
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
18481 PARADISE RD TRACY 95304-9421
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
N/A <br /><r <br />31. <br />'/A FGL <br />2. <br />(Please use the back of this sheet for additional comments or cc <br />2. <br />3. <br />4. <br />5. <br />4. <br />5. <br />6. <br />7. <br />8. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />FGL Environmental <br />Revision Date: 10/10/23 <br />2. <br />3. <br />Phone Number: <br />Date: <br />Yes <br />Yes <br />No <br />No <br />No <br />No <br />No <br />No <br />Shipping tracking #(s): <br />(3017263) <br />Anna Gwerder <br />STK2539765 <br />iv 07/08/2025 07:46:41 <br />OllllllffllillllJ <br />STK2539765 <br />Yes <br />Yes <br />N/A <br />TWA <br />Sample Receipt at: <br />1. <br />No <br />No <br />No <br />No <br />(^^Yes"^ No <br />same ice chest asthe samples. <br />Temp IR Gun ID #: <br />Were samples received on ice? <br />Acceptable is above freezing to 6°C. I: <br />Do the number of bottles received agree with the COO? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <br />Sign and date the COG, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client’s ID’s? <br />Were all bottles requiring sample preservation properly preserved? Yes <br />(Exception: Oil & Grease, VOA and CrVl verified in lab] <br />VO As checked for Headspace? <br />Have rush or project due dates been checked and accepted? <br />Were all analyses within holding times at time of receipt? <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 />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />Inter-Laboratory Condition <br />CC CH /<ST] <br />Number of ice chests/packages received: f <br />Temp IR Gun ID #: J <br />Were samples received on ice^Yes^ No Temps: / . ' I I // <br />Surface water SWTR bact samples: Asample 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 twoju <br />Do the number of bottles received agree with the COC? C <br />Were samples received intact? (i.e. no broken bottles, leaks etc.)(J <br />VO As checked for Headspace? <br />Were all analyses within holding times at time of receipt? <br />Verify sample date, time and sampler name <br />Sign and date the COC, place in a ziplock and put^ <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />Number of ice chests/packages received: <br />yS No Temps: //// <br />irtfiSny packages are received at one time check for tests/H.T.’s/rushes/ <br />No N/A <br />No <br />Doc ID: 3D0900002_SOP_14.DOC <br />Page 1 of 1 <br />ion Receipt (Attach to COC) ^5^ <br />VI s <br />Shipping tracking #(s): <br />ei <br />es
The URL can be used to link to this page
Your browser does not support the video tag.