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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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CHMN OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists � Customer COI)y 12 ()t �I <br /> x <br /> 34" 0:02 06/2017 TEST DESCRIPTION See Reverse side for Co. Liner,Preservative and Sampling int-nn:un n <br /> Client: San Joaquin County;EHD <br /> Address:: San Joaquin Co. Environmental Health Dep ' <br /> Water Quality Division <br /> Attn:Rodney Ewad s 3 y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205, <br /> Phone: (209)468-0331 Fax: u 3 �31 <br /> Contact Person: o ney stra a co <br /> Project Name: -10 !"Do 3 S.Chr%SmaIll O � <br /> Purchase Order Number: W PO��y3g� U W 3 <br /> Quote Number: ST 20160309-01 STK 35 �e o o F <br /> Wo, Y F- 00 <br /> Sampler(s) o C z <br /> 0 v O 0. O <br /> a0 w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: —"R z O o "z O z <br /> z fs~ A F <br /> Lab Number: STK 3-17919 0 a a 10 <br /> U ti x x <br /> o v ' N O a a F II a a <br /> Samp Date Time Q <br /> Location Description <br /> oNum Sampled Sampled O <br /> U C7 N w a J s <br /> I G DW 1 L1,1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Dare: 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.E.Lindo 1 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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