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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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--= Special CxAiri OF CUSTODY <br /> . , www.fgUnc.com <br /> Customer Copy (2 of 3) <br /> IIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIII VIII VIII <br /> 35731:08,102,1202l 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 <br /> Attn:Michael Kith 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> o. <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael KithLe i rZINOAC-CkbCl 12 A ¢ E <br /> Project Name: 0 r° <br /> CVnr t5nnc.nI xco <br /> Purchase Order Number: (GtU 1 4 V w 3 <br /> J : 9 ¢ t,; O <br /> Quote Number: wE w <br /> Sampler(s) o vwi z > A <br /> AkAma A <br /> pp O Q •C� O <br /> Sampling Fee: Pickup Fee: S a o <br /> C Q <br /> Compositor Setup Date:_/_/_ Time: / E a z p x a w <br /> U0 E o U) o <br /> Lab Number: STK 3-17919 0 a a a M> <br /> p`- <br /> Samp Date Time � n V <br /> I - '� 6 <br /> Num ovation Description Sampled Sampled E~ Q° pp M p rn v <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> A\60CU �,ltrut5 411023 10:(': <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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