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WP2601787
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAN ALLEN
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19189
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4200/4300 - Liquid Waste/Water Well Permits
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WP2601787
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Entry Properties
Last modified
8/10/2026 1:41:40 PM
Creation date
6/19/2026 9:24:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2601787
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
19189
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
24508019
CURRENT_STATUS
Closed - Complete
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
19189 S VAN ALLEN RD ESCALON 95320
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 ConditiyaXjpon Receipt (Attach to COQ <br /> Sample Receipt at: CC CH (S_ CK� VI <br /> I. Number of ice chests/packages received: Shipping tracking #(s): <br /> 2. Temp IR Gun ID #:TH319 <br /> 3. Were samples received on ice? es at o Temps: <br /> Surface water SWTR bact samples:A s has a temperature upon receipt of >l0°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? es No N/A <br /> 5. Were samples received intact? (i.e. no broken bottles, leaks etc.) Ye No <br /> 6. VOAs checked for Headspace? Yes No /A <br /> 7. Were all analyses within holding times at time of receipt? (YaD No <br /> 8. Verify sample date, time and sampler name Ye No <br /> Sign and date the COC, place in a ziplock and put i e same 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: 3 Shipping tracking #(s),5 ({ D o Z 1 e <br /> 2. Temp IR Gun ID #: Q10Z <br /> 3. Were samples received on ice? Yes No Temps: <br /> Acceptable is above freezing to 6°C. If y 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.) s 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? s No <br /> 2. Did bottle labels correspond with the client's ID's? 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 /A <br /> 6. Were all analyses within holding times at time of receipt? es No <br /> Attach labels to the containers and include a copy of the COC for 1 livery. <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 /> STK2650616 <br /> iv <br /> 0/m/2026 08:20:07 J(Please use the back of this sheet for additional commentsIIIIIIIIIIIIIIIIIIIIIIIII,IIIIIIIIIIIII <br />
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