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WP0043558 (2)
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043558 (2)
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Entry Properties
Last modified
7/9/2026 4:23:05 PM
Creation date
6/22/2026 10:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0043558
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
17423
Direction
S
STREET_NAME
ENTERPRISE
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
22926004
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
17423 S ENTERPRISE RD ESCALON 95320-
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-Laborato Con ' ' on Receipt Attach to COC <br /> Inter-Laboratory PC ) �l0 <br /> Sample Receipt at: CC CH VI <br /> l. Number of ice chests/packages received: Shipping tracking#(s): ' <br /> 2. Temp IR Gun ID#:TH319 � Z <br /> 3. Were samples received on ice? es o Temps: <br /> Surface water SWTR bact samples: A e that has a temperature upon receipt of >100 C,whether iced or not, <br /> should be flagged unless the time since sample collection has been less than tw <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. es o <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> S. Verify sample date, time and sampler name es No <br /> Sign and date the COC,place in a ziplock and put ' t same ice chest a e samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking#(s • (Q <br /> 2. Temp IR Gun ID #: <br /> 3. Were samples received on ice? es No Temps: <br /> p <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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) ee 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? es 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? es 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? Yes No /A <br /> 6. Were all analyses within holding times at time of receipt? fes No <br /> Attach labels to the containers and include a copy of the COC fo lab delivery. <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: <br /> Problem: (3017919) <br /> Resolution: San Joaquin CountyENO <br /> STK2639741 <br /> (Please use the back of this sheet for additional comments or mdc 07101/202617:05:36 <br /> EN1111111111111111111111 <br /> STK2639741 <br />
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