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WP0042352
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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
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL -- AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chen--.ists Laboratory Copy (1 of 3) <br /> IIIIIIIIIIIIII III�IIIIII IIIIIIIIII�IIII IIIIIIIII I�IIII <br /> 35731:08,02 2021 l EST DESCRIPTION See Reverse side [or Container.Preservative and Sampling information <br /> Client: San Joaquin County EHD 11t <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Michael Kith x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3444 Fax: <br /> w 3 U) <br /> Contact Person: Michael Kith �n L Q d a <br /> Project Name: 21i���� S, C(,x\,X A.Jro1wr CA 0 w o <br /> Purchase Order Number: 5. <br /> U <br /> Quote Number: U <br /> (� G 8 <br /> Sampler(s) 1 \\�rq 1 M0 J V vwi - ; O L1 <br /> v 0 <br /> Sampling Fee: Pickup Fee: ° '5 <br /> s a R <br /> Compositor Setup Date: /_/_ Time:_/ o, z O Q w <br /> C-0) E <br /> Lab Number: STK 03-17919 0 a. c > <br /> d `o F C7 <br /> Samp Date Time � QL E <br /> Num Location Description Sampled Sampled � a.0 m w O v:0 <br /> ] �� ` Z ��• G <br /> DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished ate: Time: Relinquished Date: Time: <br /> A. <br /> Received By: Date: Time: Rec ived y: te: Time: Received By: Date: Time: <br /> zb2Z i2o , "l 1, I��D <br /> \ <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 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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