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WP0044742
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044742
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Entry Properties
Last modified
2/26/2026 1:09:17 PM
Creation date
10/23/2023 11:00:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044742
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
628
Direction
W
STREET_NAME
SNEED
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231-
APN
19324041
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
628 W SNEED RD FRENCH CAMP 95231-
Tags
EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_14.doc <br /> Revision Date: 10/10/23 Page 1 of 1 <br /> Inter-Laboratory Cond>I* "on Receipt (Attach to COC) o� <br /> Sample Receipt at: CC CH TK 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 is Yes O Temps: <br /> Surface water SWTR bact samples: a 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? lawmples. <br /> 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 No <br /> Sign and date the COC, place in a ziplock and put i ame ice chest a <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: r <br /> 1. Number of ice chests/packages received: Shipping tracking #( �k[/� I <br /> 2. Temp IR Gun ID#: /,),kn (_ <br /> 3. Were samples received on ice? (Yes No Temps: <br /> Acceptable is above freezing to 6°C. If many 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? Q No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) tes 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? Yes No /A FGL <br /> [Exception:Oil&Grease,VOA and CrVI verified in labl <br /> 4. VOAs checked for Headspace? Yes No N/A <br /> 5. Have rush or project due dates been checked and accepted? Yes No 1/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 fo 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 County END <br /> STK2556204 <br /> (Please use the back of this sheet for additional comments or iv�10/2112025 06:56:56 <br /> lil I�II�IIIIIIIIIIIIIII�IIIII�I� <br />
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