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WP2601605 (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200/4300 - Liquid Waste/Water Well Permits
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WP2601605 (2)
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Entry Properties
Last modified
6/25/2026 8:38:46 AM
Creation date
5/28/2026 3:11:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP2601605
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
1349
Direction
S
STREET_NAME
DRAIS
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
18321008
CURRENT_STATUS
Closed - Complete
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
1349 S DRAIS AVE STOCKTON 95215
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 ConditiO&Upon Receipt (Attach to COC)a( 3-7q `0 <br /> Sample Receipt at: CC CH (k VI <br /> 1. Number of ice chests/packages received: 1 Shipping.tracking #(s): <br /> 2. Temp IR Gun ID #:TH319 <br /> 3. Were samples received on ice? �te No Temps: <br /> Surface water SWTR bact samples: A� ple that has a temperature upon receipt of 710a 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 Headspace7 V.. No /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date,time and sampler name 'e No <br /> Sign and date the COC, place in a ziplock and put ' the same ice chest as tt e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP:1. Number of ice chests/packages received: C)-- Shipping tracking #(s):c5(/)qL(q (Lq//7 j / <br /> 2. Temp IR Gun ID #:�2 G� / b i�� /6 5H <br /> 3. Were samples received on ice? Yes No Temps <br /> Acceptable is above freezing to 6°C. y packages are received at one time check for testsM.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.) t 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? fe No <br /> 2. Did bottle labels correspond with the client's ID's? No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CM verified in lab] <br /> 4. VOAs checked for Headspace? Yes No C/A <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 fo 1 eliv <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 Courtly EHD <br /> (Please use the back of this sheet for additional continents ST9637 6 <br /> 1v 0512112026 06:44:32 <br /> IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />
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