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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TSIRELAS
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23273
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4200/4300 - Liquid Waste/Water Well Permits
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PR0543204
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Entry Properties
Last modified
3/2/2026 11:51:22 AM
Creation date
5/1/2024 2:27:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
PR0543204
PE
4233 - ALT/ENG OWTS - ANNUAL PERMIT - Sampling Only
FACILITY_ID
FA0024628
FACILITY_NAME
MONJES, TESSY
STREET_NUMBER
23273
Direction
S
STREET_NAME
TSIRELAS
STREET_TYPE
DR
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
23273 S TSIRELAS DR TRACY 95304
Tags
EHD - Public
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~ CHAIN OF CUSTODY <br /> FGL ENVIRONMENTAL AUKICULTURALSpecial www.fglinc.com <br /> Laboratory Copy (1 of 2) <br /> 3S730:11/01/2023 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 3 a <br /> Arm:Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 Ca <br /> a <br /> Phone: (209)468-3452 Fax: Zv� CIO <br /> a <br /> � a <br /> Contact Person: Scott Sangalangcc <br /> Project Name: 232-435.-V!5 elag Vf:� <br /> O m d o <br /> a <br /> Purchase Order Number: a <br /> Quote Number: ST 20160309-01 y a <br /> E <br /> Sampler(s)�,lta � o vwi Z � O <br /> Q� <br /> Sampling Fee: Pickup Fee: a O <br /> .c y C t° En c <br /> Compositor Setup Date:_/_/_ Time:_/_ E z p x c •�'z � n <br /> —a O � <br /> v, E a v� o E z C f, <br /> Lab Number: $TK L 3-17919 ccT €a a <br /> I <br /> Samp Location Description Date Time 0 c R o o v o <br /> Num Sampled Sampled t. a ua as O U O N a iL <br /> G DW -1•- <br /> �tlD�ni wla9 <br /> CAM rr� � <br /> :aie: lime Relinquished faro: Time: Relinquished Date: Timc: <br /> } iRe�eived By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> r\Comorate 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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