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EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543041
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/18/2020 2:49:26 PM
Creation date
5/18/2020 2:22:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543041
PE
2960
FACILITY_ID
FA0024604
FACILITY_NAME
HUMAN SERVICES AGENCY
STREET_NUMBER
145
Direction
S
STREET_NAME
SUTTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
14912016
CURRENT_STATUS
01
SITE_LOCATION
145 S SUTTER ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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��a SAN JOAQUIN COUNTY 'F REQu�smoN <br /> kC�l>b+�� PURCHASE REQUISITION NUMBER_ +� - 40776 <br /> PURCHASEORDER _ <br /> ISTRIBUTION:Original&Canary to Purchasin,Pink to Department,Goldenrod to Requistioner NUMBER <br /> SECTION B FOR PURCHASING USE <br /> DATE 2 FUND I 3 BUDGET UNIT 4 ACCOUNT CODE 4a DEPT.NAME ! 5 QUOTE BEFORE ORDERING Yes O No O 16 BUYER 17 DATE PROCESSED 18 TYPED 19 BY <br /> 10/21/94 014800 0411-0568 CAO-Ca iCal Projects 6 MSDS REQUIRED Yeses No 1-7 <br />'FOR ADDITIONAL INFO.CONTACT B DELIVERY TO(ADDRESS) 20 VENDOR(S) <br /> Dick t;all.istro 333 E. Washington Street <br />"ELEPHONE NUMBER Stockton, CA 95202 <br /> 32180 <br /> I SUGGESTED VENDOR(S) 10 DELIVERY DATE REQUIRED VENDOR CODE(S) <br /> WFSTl 83 W. Parch Lane, Suite 12, Stockton, CA 95207 <br /> 1 ITEM 12 PUNFT <br /> 14 DESCRIPTION 21PRICE 22 COMMODITY <br /> NO OUANifTY (Give Size,Calor,Name,Slade No.a Sempb) (DISC.ETC.) <br /> 2B DELIVERY DATE <br /> 1 Additional Environmental Investilzation of Human Services A enc to <br /> 24 SHIP TO <br /> include developing a work plan for EHU installation of two monitoring ❑ <br /> Wells with attendant soils testing, one round of monchtor well sampling <br /> and abandonment of two eaistin dry moiiitoring wells per attached <br /> ATTN: <br /> ro oeai BP-94-3279-00 dated September 21 1994 in an amount not to ❑WILL CALL <br /> ❑ OTHER <br /> exceed $22, 754. The proposal is amended to include initial dis osaL <br /> of DurRe water in the temporary storage ta1;k at the Count• Ccurthouse <br /> and more task related invoicing Jl rurvicurper tele IlV lte (:mf1IIel Sa Cio['. 25 F.O.B. E]DESTINATION <br /> ❑OTHER <br /> with Paul Sundbprg of 10%17/94 FREIGHT: ❑Full Freight Allowed <br /> ❑Prepayed and Add <br /> 26TERMS <br /> 27 TAX <br /> ❑INCLUDED ❑7.75% <br /> ❑OTHER ❑NONE <br /> 28 PREPAY <br /> ❑CHECK <br /> 15 APPROVAL: I hereby certify upon my own personal knowledge that the articles and/or service, requested 15a MAX.AMOUNT AVAILABLE <br /> lereon, are necessary to perform the functions of this department required by law and the adequate FOR THIS PURCHASE: <br /> mencumbered funds are in this department's budget to cover the cost of same. <br /> signature of Authorized lndividual(s)�. � Date $ 25,OCi).OU <br /> Date PUR-36(5194 <br />
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