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WP0043877
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRENCH CAMP
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15553
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043877
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Entry Properties
Last modified
4/27/2026 11:12:01 AM
Creation date
12/9/2022 3:12:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043877
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
15553
Direction
E
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
20308001
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
15553 E FRENCH CAMP RD RIPON 95366-
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 oof1/ <br /> 9�5jlryw <br /> Inter-Laboratory Conditp* nfNpon Receipt (Attach to C0C),1& <br /> Sample Receipt at: CC CH 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 e that has a temperature upon receipt of >IO°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.) No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC,place in a ziplock and put in t ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: -,�2— Shipping tracking#(sQJo tJr ;I3 j0 Y <br /> 2. Temp IR Gun ID #;!�-) : : l �l <br /> 3. Were samples received on ice? es No Temps:/ / / / <br /> Acceptable is above freezing to 6°C. If many packages are received at one time check foriests/H.T.'s/rushes/ <br /> 4. Do the number of bottles received agree with the COC? fe3s <br /> 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? es No <br /> 2. Did bottle labels correspond with the client's ID's? s No <br /> 3. Were all bottles requiring sample preservation properly preserved? i 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 P/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 COC fo ab deliv <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: (3017919) <br /> Problem: <br /> Resolution: San Joaquin Counfy EHD <br /> STK2635546 <br /> (Please use the back of this sheet for additional comments of iv 04/21/2026 06:52:07 <br /> II II I III,Il l llli 11 lli lll 11 l l l <br />
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