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WP0042352
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042352
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Entry Properties
Last modified
4/25/2024 12:08:54 PM
Creation date
2/16/2023 11:08:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042352
PE
4366
STREET_NUMBER
24184
Direction
S
STREET_NAME
CABE
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25015028
ENTERED_DATE
7/28/2021 12:00:00 AM
SITE_LOCATION
24184 S CABE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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- Special ---www fgUnc.com <br /> ? Laboratory Copy (11 of 3) <br /> t . <br /> �I 35730:02/06/2017 1 ES'f DESCRIPTION - See Re�ersc side lir Container. Preservaiwe and Sampling uubrmation <br /> 'liens: San Joaquirt,County EHD <br /> address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> a <br /> 'hone: (209)468-0331 Fax: * x a <br /> -ontact Person: Rodney Estrada ¢ E <br /> 1, t,, <br /> 'roject Name: "1\�� J. `GvC .�rG��{t t� ro <br /> 'urchase Order Number: `tS 50ki C� � : a x w <br /> Zuote Number: ST 20160309-01 y a <br /> L ' a E F 00 <br /> o H <br /> Samplers) A\dvrt"a 6fA\%n(j-, o vii z i p A <br /> �/w� U at a� <br /> Sampling Fee: Pickup Fee: E 6� <br /> N M <br /> Compositor Setup Date:_!_/_ Time:_! E a. z O o ° v d £".O Z E E <br /> cn E c y c z c u. C F <br /> Lab Number: STK 3-17919 0 c. U c� H= x x <br /> 0 o <br /> iam Date Time ED = E v E o a C <br /> Num Location Description Sampled Sampled °' o o o v o „o <br /> 07 <br /> 1 WeA\ Y-,PaA1 1 jj%lSi, G DW 1 I,1,1 �,�3 ►1�Yj 11;1 <br /> Remarke tnyuts a ate: tme: Relinquished Date: Time: Relinquished Date: Time: <br /> R�.� 1�1g�?z �z. � ► I� ZZ f�� l I�� X13� <br /> Receive By: Datj: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coraorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Lab ratory <br /> �y 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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