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WP2400143
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP2400143
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Entry Properties
Last modified
2/26/2026 1:09:23 PM
Creation date
7/22/2025 1:08:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2400143
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
10235
Direction
S
STREET_NAME
JANET
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19330041
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
10235 S JANET RD FRENCH CAMP 95231
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-Laboratory Conditio Upon Receipt (Attach to COCI*591/a <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? es No Temps:5.0 <br /> Surface water SWTR bact samples:A s e 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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 6. VOAs checked for Headspace? No /A <br /> 7. Were all analyses within holding times at time of receipt? No <br /> 8. Verify sample date, time and sampler name 6esamples. <br /> No <br /> Sign and date the COC, place in a ziplock and put in the same ice chest as t <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: <br /> 1. Number of ice chests/packages received: Shipping tracking #(s): SG3107L/6 1 <br /> 2. Temp IR Gun ID #: 1121� R 7� <br /> 3. Were samples received on ice. Ye No Temps: L <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? s No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Yes 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? No <br /> 2. Did bottle labels correspond with the client's ID's? fess <br /> No <br /> 3. Were all bottles requiring sample preservation properly preserved? No N/A FGL <br /> [Exception:Oil&Grease,VOA and CrVI 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 eN/A <br /> 6. Were all analyses within holding times at time of receipt? (Ye's� No <br /> Attach labels to the containers and include a copy of the COC for lab deli <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 /> I. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: (3917919) <br /> Resolution: San Joaquin County EHD <br /> (Please use the back of this sheet for additional comments or c STK2559412 <br /> c105 <br /> III III II I'�I II I'�II IIIIIIIII�III IIIIII <br />
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