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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
V
>
VIA NICOLO
>
17950
>
4200 – Liquid Waste Program
>
PR0521836
>
** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Entry Properties
Last modified
10/21/2024 4:15:18 PM
Creation date
12/31/2020 8:17:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0521836
PE
4232 - ALT/ENG OWTS - ANNUAL PERMIT - Full Permit
FACILITY_ID
FA0002971
FACILITY_NAME
MUSCO FAMILY OLIVE CO
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
17950 W VIA NICOLO TRACY 95377
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Quarterly www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 33273:02/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Musco Family Olive Environmental <br /> Address: Attn:Amanda Devlin <br /> 17950 Via Nicolo .1 <br /> Tracy,CA 95377 : °a <br /> tz <br /> Phone: (209)8364600 Fax: (209)836-0853 3 a <br /> Contact Person: Amanda Devlin i7 w C11 <br /> bo Ella <br /> Project Name: Leach Line Monitoring 12 A : H a <br /> Purchase Order Number: 3 En A <br /> Quote Number: x <br /> ,p rF <br /> WW Q v ?� a <br /> Sa ler(sE W a E j '4 N <br /> z H M <br /> U � o �a <br /> (� a r o <br /> J �n� � � i � � h�� ,S va z 50 <br /> 9 S 0 <br /> ampling Fee: Pickup Fee: o0 � %r4 g <br /> C u p <br /> Compositor Setup Date:_/_!_ Time:_/_ a z O <br /> 2 3339 6 <br /> Lab Number: STK 3 3-11544 o N a r v !q a 44, h j <br /> Samp Date TimeU£ <br /> Num Location Description Sampled Sampled ET- a° as c1 O :EN O$ O <br /> 3 oa E-v <br /> G WW 1 l,l,l,l 2 <br /> 2 L-2 !� G WW 1 1,1,1,1 2 <br /> 3 L-3 3 G WW 1 1,1,1,1 2 <br /> I z <br /> Remarks: u' ed Date: Time: Relinquished Date,-, Time: Relinquished Date: Time: <br /> 2A71 IL' ib/1300 � <br /> Received By: Date Time: Received By: ate: Time: Received By: Date: Time: <br /> -rI6f2o� 3(14� 2� Im ��� �2� <br /> Corporate Offices&Laboratory Office&Laboratory r^�S Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road V 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 2� (c�3 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 C{ Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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