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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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t <br /> FGL CHH OF CUSTODY <br /> 11 AGRICULTL RAL <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 3) `. <br /> 1111111 fli U11 1111101 !tl M I 0 35731:08/02/2021 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 /> Atm: Michael Kith <br /> 1868 East Hazelton Ave. ti v <br /> Stockton,CA 95205 3 <br /> a <br /> v <br /> Phone: (209)468-3444 Fax: <br /> a <br /> D <br /> Contact Person: 1�4iefraei-f(iih�,w �� �, A � 7 <br /> Project Name: 3000 S C,%V-1SwlaK K-u, a „ rn T <br /> Purchase Order Number: (J� <br /> Quote Number: - n <br /> .$ E u <br /> H <br /> Sampler(s) <br /> C q <br /> Sampling Fee: Pickup Fee: c o g <br /> Compositor Setup Date: /_/_ Time: ! E a z <br /> —— E c$ <br /> Lab Number: STK 333 r7 3-17919 0 aj <br /> & C7 <br /> Samp Date Time �s '� u E <br /> Num `I ovation Description Sampled Sampled E' a m° ro O <br /> I WeM \Aeul 1.16 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: R ' wished D tec Time: line Date: J Time: <br /> caxa .1ihuS 10:05 <br /> Ry: <br /> Date: Time: Received By: Date: Time: Received By: Date:1-1 ime: <br /> Corporate Offices Laboratory Office 8 Laboratory Office&Laboratory Office 8 Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 0,415 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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