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WP2500707
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SIMI
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8348
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4200/4300 - Liquid Waste/Water Well Permits
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WP2500707
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Entry Properties
Last modified
8/6/2026 9:46:09 AM
Creation date
7/15/2026 1:19:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP2500707
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
8348
Direction
N
STREET_NAME
SIMI
STREET_TYPE
CT
City
STOCKTON
Zip
95212
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
8348 N SIMI CT STOCKTON 95212
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 Condii0ionj4pon Receipt (Attach to COC)409T ya� <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? Yes o Temps:6 I I I I <br /> Surface water SWTR bact samples:A s 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.) Yes No <br /> 6. VOAs checked for Headspace? No QN7/AJ <br /> 7. Were all analyses within holding times at time of receipt? fNo <br /> 8. Verify sample date,time and sampler name Yes No <br /> Sign and date the COC,place in a ziplock and put i the a ice chest as the samples. <br /> Sample Receipt Review completed by (initials): <br /> Sample Receipt at SP: r ,, <br /> I. Number of ice chests/packages received: Shipping tracking#(s): 6 b b l Z to 1 � <br /> 2. Temp IR Gun ID#:-�tlZ L,5 <br /> t0lS� 1 /" 3loD l y b L7 <br /> 3. Were samples received on ice? t� No Temps: 2 I 1 1 I <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? 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? No <br /> 3. Were all bottles requiring sample preservation properly preserved? t 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? Ye No N/A <br /> 6. Were all analyses within holding times at time of receipt? Ye No <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): A4')(_ <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: <br /> (3017919) <br /> Resolution: CountySan Joaquin NO <br /> additional o r c 0mments or co;{Please use the back of this sheet f STU639 182 <br /> Me 071071202617:27:43 <br /> STK2639982 <br />
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