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WP2601585
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP2601585
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Entry Properties
Last modified
5/13/2026 7:56:49 AM
Creation date
4/2/2026 7:49:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2601585
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
7904
Direction
S
STREET_NAME
ENDOW
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19318045
CURRENT_STATUS
Closed - Complete
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
7904 S ENDOW RD FRENCH CAMP 95231
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 Condition Upon Receipt (Attach to COC)o2�'3teO�v <br /> Sample Receipt at: CC CH STK 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? Yes No 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.) Y No <br /> 6. VOAs checked for Headspace? Fe <br /> No LA <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 i t same ice chest asamples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s): �j(�-131 J3� <br /> 2. Temp IR Gun ID #: .g2 b ��3 <br /> 3. Were samples received on is No Temps: Z"L/Acceptable is above freezing to 6°C. IZes) <br /> 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.) 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? es No <br /> 3. Were all bottles requiring sample preservation properly preserved? Yes No 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? Ce <br /> s No N/A <br /> 6. Were all analyses within holding times at time of receipt? s No <br /> Attach labels to the containers and include a copy of the COC for lab deliv <br /> Sample Receipt, Login and Verification completed by (initials): Y'55r-- <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: Harp• ___ <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyEHO <br /> (Please use the back of this sheet for additional comments or c <br /> STU636042 <br /> iv 04/30/2026 08:49:59 <br /> STK2636042 <br />
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