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WP0043835
EnvironmentalHealth
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ELEVENTH
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043835
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Entry Properties
Last modified
11/19/2024 10:20:03 AM
Creation date
4/3/2023 3:04:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043835
PE
4370
STREET_NUMBER
5161
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304-
APN
25011002
ENTERED_DATE
9/23/2022 12:00:00 AM
SITE_LOCATION
5161 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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FGL Special CHAIN OF CUSTODY <br /> RAL <br /> www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> INIINN INII IIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIII 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County ElID <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada rx <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3co <br /> 0. <br /> Phone: (209)468-0331 Fax: <br /> t7 w 3 <br /> Contact Person: Rodney Estrada._ } S C 1 Q ¢ w <br /> Project Name: ';!�]� (�} t t _ <br /> Purchase Order Number: G�)t)4 3131 > <br /> Quote Number: ST 20160309-01 a ¢ <br /> 00 <br /> Sampler(s) fZ �D A <br /> ��l�1rG �IIr11GtS � � a,� a x <br /> 0 <br /> Sampling Fee: Pickup Fee: S 1' ;, o ° a <br /> c <br /> a v o ai " ° aO oZ °3 E <br /> Compositor Setup Date:_/_/_ Time:_/_ E Z O c o z C z w O <br /> x <br /> U <br /> Lab Number: STK 3-17919 0 a n x x <br /> >, v� Ea a a a <br /> n o $ OSamp Date Time v i= Hv nII <br /> v v, 00 � <br /> Num Location Description Sampled Sampled N <br /> w O U <br /> 0 is <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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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