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COMPLIANCE INFO_2025
Environmental Health - Public
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EHD Program Facility Records by Street Name
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RIPON
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19818
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1600 - Food Program
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PR0548231
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
4/7/2025 3:27:06 PM
Creation date
4/1/2025 9:10:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0548231
PE
1609 - CLASS B COTTAGE FOOD-INDIRECT SALES
FACILITY_ID
FA0027520
FACILITY_NAME
SWEETS & DOUGH
STREET_NUMBER
19818
Direction
N
STREET_NAME
RIPON
STREET_TYPE
RD
City
RIPON
Zip
95366
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
19818 N RIPON RD RIPON 95366
Tags
EHD - Public
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<br /> <br />Were all requested analyses understood and acceptable? <br />Did bottle labels correspond with the client's ID's? os <br />No <br />No <br /> Were all bottles requiring sample preservation properly preserved? <br />lException: Oil & Grease, VOA and CrVI verified in lab] <br />Yes No <br /> VOAs checked for Headspace? Yes No <br /> Have rush or project due dates been checked and accepted? Yes No <br /> Were all analyses within holding times at time of receipt? No <br />FGL <br />FGL Environmental Doc ID: 3D0900002_SOP_14.DOC <br />Revision Date: 10/10/23 Page 1 of 1 <br />Inter-Laboratory Condi ' pon Receipt (Attach to COC) 4A-g/66'S <br />Sample Receipt at: CC CH VI <br />1. Number of ice chests/packages received: Shipping tracking #(s): <br />Temp IR Gun ID #: <br />Were samples recei p on ice? Yes No Temps: /7 61/ <br />Surface water SWTR ba samples: A sample a as 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? No N/A <br />Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes No <br />VOAs checked for Headspace? No IA <br />Were all analyses within holding times at time of receipt? No <br />Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in t e 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: 1/ Shipping tracking #(s): 17-6g 16( (-°(31 7'37'3 <br />Temp IR Gun ID #: <br />Were samples received onle? Ye No <br />Acceptable is above freezing to 6°C. lf-maty packages are received at one time check fort H.T.'s/rushes/ <br />Do the number of bottles received agree with the COC? No N/A <br />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 />Temps: ( / <br />Attach labels to the containers and include a copy of the COC for lab delivery. <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy <br />— <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />Person Contacted: Phone Number: <br />Initiated By: <br />Problem: <br />Resolution: <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br /> <br />Phone Number: <br />Date: <br /> <br />(3019285) <br />Michele Jacobs <br />STK1531068 <br />"ii211:1,211Eir <br />(Please use the back of this sheet for additional comments or c <br /> <br />Date:
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