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WP0043835
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ,r ENVI RON MENTAL, 'AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chcmisls Laboratory Copy (1 of 3) <br /> I 11111111! 11 11111 35730:02/06/2017 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205cc <br /> c. <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: - i�t�L <br /> 1 � � n <br /> y G <br /> Project Name: 51 GI �` + bf, T"l O w ;3 c c <br /> W <br /> Purchase Order Number: 9004 3$35 U w 3 C4 -- <br /> Quote Number: ST 20160309-01 <br /> a F, ° P <br /> 00 <br /> Sampler(s) ` c Z 0 aA <br /> x 0 <br /> raS <br /> * c O PA&M cLO <br /> a ¢O <br /> Sampling Fee: Pickup Fee: ff °� a c A. a <br /> Compositor Setup Date: I I Time: I E ,, z p c. �'z p Z 2 � <br /> Lab Number: STK p3-17919 a n u T a a a <br /> o <br /> Samp Date Time aU :s2. b <br /> Gkation Description ° .2 .2 <br /> ON Num Sampled Sampled a co O s. <br /> 1 1ead <br /> I1:�.5 G DW <br /> Remarks: Relinquished Date: Time: quished / D te: Time: Relinquished Date: Time: <br /> 217123 1V.O t7� G L S, Z,/g12 /3 Eo <br /> By: Date: Time: Received By: Date: Time: Received <br /> Received By: Date: Time: <br /> eceiv <br /> / /Oz-� /W* �W 47/0 <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 /> r� Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> C� 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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