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WP0044381
EnvironmentalHealth
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CHRISMAN
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4200/4300 - Liquid Waste/Water Well Permits
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WP0044381
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Entry Properties
Last modified
4/29/2024 8:58:38 AM
Creation date
5/1/2023 11:28:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0044381
PE
4391
STREET_NUMBER
30000
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25324010
ENTERED_DATE
3/30/2023 12:00:00 AM
SITE_LOCATION
30000 S CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF CISTODY <br /> Special <br /> www. <br /> fig ; <br /> Laho' tory Copy ( 1 of 3) <br /> �III1111101lIlhllllllllll1111111111111lIllllIII1111I1N11 y" 35730:02/05/2017 TEST DESCRIPTIO N- See Reverse side for Container.Preservative and Sampling informationg. <br /> se� <br /> Client: San Joaquin County EHD .1 <br /> Address: San Joaquin Co. Environmental Health Dep N 'A <br /> Water Quality Division a , <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> :f Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: 4kedney st,advCMar-42uq01Gt;+ :a A ¢_ <br /> I.. <br /> 1'Z'j(J.� C7 ua o r <br /> Project Name: 3Q 00D S.C.�'1t"t5 _-_`/ -- , <br /> Purchase Order Number: toe0()4%A381 a� ¢ a w <br /> Quote Number: ST 20160309-01 rjx v-5s:r w -us <br /> Sampler(s) ` E 0 A\6 <br /> w o r: A <br /> 0M 1�4 knas <br /> =a Q <br /> Sampling Fee: Pickup Fee: k c a.C4 o. <br /> Compositor Setup Date: I I Time: I E �,, z p z p z <br /> x E o c z k A H <br /> i Lab cc <br /> Number: STK v ,J� �l g 3-17919 0 W a a oa h x x <br /> 040 <br /> Samp DateTime ° E b '� <br /> Num Location Description Sampled Sampled °' ° `0 `ca $ °� °_'tn <br /> G DW <br /> Remarks: Relinquished Date: Time: R shed Date: Time: elfin ed Date: ime: <br /> XtIMS 4)1*3 lot <br /> Rec ' y: Date: Time: Received By: D te: Time: eceived By: Date:^ Time: <br /> Ile <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)525-41721 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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