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WP0041113
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041113
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Entry Properties
Last modified
12/19/2024 3:48:19 PM
Creation date
7/30/2024 9:50:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041113
PE
4370 - WELL REPLACEMENT-Existing Well Not Viable
STREET_NUMBER
22562
Direction
S
STREET_NAME
BIRD
STREET_TYPE
AVE
City
TRACY
Zip
95304-
APN
23908067
CURRENT_STATUS
Inactive
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
22562 S BIRD AVE TRACY 95304-
Tags
EHD - Public
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- CHAIN, OF CUSTODY <br /> ENVIRONMENTAL, AGRICUUI'URAI- Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 35730:11/0112023 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 � <br /> Attn:Scott Sanglaano .. a <br /> 1868 East Hazelton Ave. 3 U <br /> Stockton,CA 95205 0. <br /> Phone: (209)468-3452 Fax: CZ <br /> Contact Person: Scott Sangalang ¢_ <br /> Project Name: 225(62 5. e t rd ad` That' 0 w ? oCn � <br /> Purchase Order Number: <br /> > >4 <br /> Quote Number: ST 20160309-01 y a ¢ v <br /> c. w <br /> Samplers) E w Z .. ^ [� <br /> oO °p" QO `o° w <br /> Sampling Fee: Pickup Fee: c ' aw� a. <br /> Compositor Setup Date: I I Time: 1 w p'z p a. ZCIO S Z z <br /> Lab Number: STK 3-17919 o 9. `°� U a a as nl a <br /> a 0 H Do <br /> Samp Date Time ¢, a =o o x <br /> Num Location Description Sampled Sampled H a a0 U0 N LL' <br /> �'•' ill is. <br /> �oi O _ 7i- 10.06 G DW 1 l,l � �S�- Z it�,t <br /> Am <br /> .:i� .. 'i:Lc'.li:l:(:iiJ:il.. if%C_ ..._. :}�. '�:. r, •.♦.1.'.: 1'��:111:;13151::; Date: <br /> 1 <br /> i 1 <br /> T <br /> is <br /> Daze: ::.+ . :.r.Lc . By: Date: Time: <br /> 9 1 X17 a� 10 .*L <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory e <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9411 W.Goshen Avenue <br /> Santa Paula,CA 93050 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)7349473 <br /> Env Fax:(805)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(558)734-8435 <br />
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