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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0537882
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
3/20/2026 9:11:26 PM
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\jcastaneda
Supplemental fields
Site Address
18481 PARADISE RD TRACY 95304-9421
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002 SOP_14.DOC <br /> Revision Date: 10/10/23 _ Page 1 of 1 <br /> Inter-Laboratory Cond=4on' Receipt {Attach to COC) o�5���(���Sample Receipt at: CC CH • VI ►, <br /> I. Number of ice chests/packages received: —�-- Shipping tracking #(s): <br /> 2. Temp 1R Gun ID <br /> 3. Were samples received on ice Yes No Ternps:—q—.4l I I I <br /> Surface water SWTR bast 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 ho <br /> 4. Do the number of bottles received agree with the COC? No NIA <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) No <br /> 6. VOAs checked for Headspace? Yes No <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 ' same ice chest as t e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: �J Shipping tracking#(s): <br /> 2. Temp IR Gun ID #: �'l4Z l� <br /> g97y <br /> 3. Were samples received on ice?Jey No Temps: LAcceptable is above freezing to 6°C. 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? i Yew No N/A <br /> 5. 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 /> 1. Were all requested analyses understood and acceptable? ffes 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 /A FGL <br /> ]Exception:Oil&Greasc,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No N <br /> 5. Have rush or project due dates been checked and accepted? Yes Na 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 CDC for lab deli <br /> Sample Receipt, Login and Verification completed by (initials): /Ik <br /> Discrepancy Documentation: <br /> Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br /> I. 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: (3017263) <br /> Anna Gwerder <br /> (Please use the back of this sheet for additional comments orcc STK2539765 <br /> iv 07/0812025 07:46:41 <br /> �I1111V253 7613 ll llll� <br /> 5 fK7339767 <br />
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