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COMPLIANCE INFO_2026
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_2026
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Entry Properties
Last modified
9/10/2026 4:34:58 PM
Creation date
9/10/2026 10:04:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2026
RECORD_ID
PR0537882
PE
1608 - CLASS A COTTAGE FOOD-DIRECT 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
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I <br />N/A <br />f/A <br />'Si <br />FGL <br />2. <br />J(Please use the back of this sheet for additional comments c <br />FGL Environmental <br />Revision Date: 10/10/23 <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />2. <br />3. <br />4. <br />5. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />No <br />No <br />No <br />No <br />No <br />ie ice chest as the samples. <br />No <br />No <br />No <br />No <br />No <br />No <br />Yes <br />Yes <br />I/?A <br />Phone Number <br />(3017263) <br />Anna Gwenler simw <br />mdc 07/06/2026 17:03:12 <br />MHiBBliB <br />STK2639882 <br />Yes <br />Yes <br />Inter-Laboratory Conditi <br />CC CH ? <br />Number of ice chests/packages received: <br />Doc ID: 3D0900002_SOP_14.doc <br />Page 1 of 1 <br />pon Receipt (Attach to COC)^^^^? <br />VI <br />Shipping tracking #(s): <br />Sample Receipt at: <br />1. <br />ea No <br />tfly packages are received at one time check for tests/H.T.’s/rushes/ <br />No N/A <br />No <br />Sample Receipt, Login and Verification completed by (initials): ClQA" <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 />Temp IR Gun ID #:TH318 f <br />Were samples received on ice? CYes^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 />Do the number of bottles received agree with the COC? <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) <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 in th< <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. 1 <br />jie Receipt at / r / <br />Number of ice chests/packages received: H Shipping tracking #(s^UA| / <br />Gin Temp IR Gun ID #: i \ <br />Were samples received on ice? /Ye^ No Temps: ) <br />Acceptable is above freezing to 6°C. If <br />Do the number of bottles received agree with the COC? Tfe’s <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) ^es <br />Sign and date the COC, 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? <br />(Exception: Oil & Grease, VOA and CrVI verified in tab) <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 delivery. <br />Yes,
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