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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LINNE
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8000
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4200 – Liquid Waste Program
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PR0543611
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Entry Properties
Last modified
4/23/2024 4:35:32 PM
Creation date
4/3/2023 2:05:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0543611
PE
4233
FACILITY_ID
FA0024774
FACILITY_NAME
SRAI, INDERPAL SINGH & MEENA
STREET_NUMBER
8000
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
8000 W LINNE RD
P_LOCATION
03
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHMN OF CUSTODY <br /> Special www.fgUnc.com <br /> AGRICULTURALENVIRONMENTAL <br /> Analytical Clicinists Laboratory Copy (1 of 3) <br /> 35730:02/0612017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: w x <br /> A v ^ <br /> Contact Person: is e4 \ i h Q <br /> w o <br /> Project Name: (3000 W,U(\V�e ( (A T <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01CL <br /> Samplers) C�IM o W ZL, " a °O A <br /> U * ?� a a p <br /> 0 o sa ao w <br /> Sampling Fee: Pickup Fee: 5 p; c� °i <br /> Compositor Setup Date: I I Time: / E z p a a c u z a <br /> Lo � o vat -6" <br /> __X <br /> Lab Number: STK 3-17919 0 a .. a s o. a <br /> O <br /> Samp Date Time <br /> 'Z 0 <br /> Location Description , o V o <br /> ° ao "c� i°s. aNum -led Sam led U <br /> ° <br /> 10:1 G DW 1 1 <br /> Remarks: 3�, 1C�i Relinquished oD+ate: Time: R ' fished Date: Time: Relinquished Date: Time: <br /> 6 1�%A <br /> Aw�3 <br /> RAM <br /> on <br /> R7;By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> a/3120Z3 ,40Jr.-R, 04 a 61=5 ITC) we w <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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