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WP0044687 (2)
Environmental Health - Public
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EHD Program Facility Records by Street Name
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15770
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044687 (2)
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Entry Properties
Last modified
5/21/2026 12:20:20 PM
Creation date
4/27/2026 9:49:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0044687
PE
4378 - WELL REPLACEMENT-Existing Well Viable
STREET_NUMBER
15770
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24518009
CURRENT_STATUS
Active
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
15770 E RIVER RD RIPON 95366-
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 Cond' ' on Receipt (Attach to COC) % j'', <br /> Sample Receipt at: CC CH VI 4 <br /> 1. Number of ice chests/packages recei : �_ Shipping tracking#(s): <br /> 2. Temp IR Gun ID#:TH319 41 <br /> 3. Were samples received on ice. Ye o Temps: <br /> Surface water SWTR batt samples: ple that has a temperature upon receipt of >101 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.) s No <br /> 6. VOAs checked for Headspace? No N/A <br /> 7. Were all analyses within holding times at time of receipt? 4ase <br /> 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 chmples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: � � �I <br /> Number of ice chests/packages received: Shipping tracking (s). S V? f <br /> 677 00/(P <br /> 2. Temp IR Gun ID#. ` <br /> 3. Were samples received on is Ye No Temps: L <br /> Acceptable is above freezing to 6°C. I 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? No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) ee 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? teNo <br /> 3. Were all bottles requiring sample preservation properly preserved? 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 N/A <br /> 6. Were all analyses within holding times at time of receipt? Yes 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 /> 1. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: <br /> Resolution: <br /> 2. Person Contacted: Phone Number: <br /> Initiated By: Date: <br /> Problem: (3017919) <br /> Resolution: CountySan Joaquin <br /> (Please use the back of this sheet for additional comments or con- STK2636374 <br /> iv 051051202616:15:50 <br /> �I L[I[I[I[L[Ll[I«I[Illl[[[LI[lh1[� <br /> STV?f.3&774 <br />
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