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WP0044381
EnvironmentalHealth
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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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MW <br /> CHAIN OF CUSTODY <br /> jL <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> I� R 35731:0810212021 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:Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: L,, <br /> Contact Person: NfieitacKfith oeW 'RvvaA <br /> CZ ¢ a <br /> Project Name: 30 Vim+ 5 Dart 6 WUU\ O c ccc <br /> Purchase Order Number: <br /> Quote Number: W1P kJ3 <br /> h W ¢ C a a <br /> c.fJJ <br /> E U <br /> Sampler(s) oz q <br /> Mj,o.fa ,�It1Q.5 <br /> E. <br /> 0 <br /> Sampling Fee: Pickup Fee: o O_ <br /> a <br /> Compositor Setup Date: I / Time: I y z O c w <br /> Lab Number: STK �3� r 7 3-17919 ow a v <br /> Sa Date Time .S °� Q <br /> ad <br /> Num Sampled Description Sampled Sampled E~ as O v <br /> 16 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Re1inauished D te: Time: lin Date: Time: <br /> flaXa czUtV .5 41,0113 10:0$ <br /> R By: Date: Time: Received By: Date: Time: Received By: ` Date: ime: <br /> e�'p <br /> Corporate Offices&Laboratory Office&Laboratory Office R 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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