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WP0042911
Environmental Health - Public
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4300 - Water Well Program
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WP0042911
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Entry Properties
Last modified
11/19/2024 10:20:03 AM
Creation date
11/15/2022 2:15:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042911
PE
4378
STREET_NUMBER
3566
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304-
APN
23906018
ENTERED_DATE
1/18/2022 12:00:00 AM
SITE_LOCATION
3566 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\lsauers
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EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTAL IPGL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists 1 <br /> Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 "BEST 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 /> Arm:Michael Kith a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)168-3444 Fax: a c7 � �' h <br /> Contact Person: Michael Kith 9 ¢ 2 <br /> -rCrrellG6 �y R <br /> Project Name: J' Lm. 61e,*A 1 N <br /> y m y A <br /> Purchase Order Number: IND <br /> t-ri ICA. ¢ } a O <br /> Quote Number: WQ OO��I) <br /> te <br /> E <br /> Samplers) �c�� 5 o h z a. O Ca <br /> U * u # <br /> cu �o O �h S <br /> Sampling Fee: Pickup Fee: E <br /> Ei C V O N <br /> iz <br /> Compositor Setup Date:_/ / Time: / E o, z O d w <br /> -- v; E <br /> Lab Number: STKpr'�JJ" 3 3-17919 <br /> c F KO 0U <br /> ;amp Date Time Sampled led leda 15 <br /> Num Location Description Sam v '' '6 v E° E <br /> P P F O rn v <br /> 1 It Nom\\ IUIZ6' t2'Akbfry G DW Sub-3 <br /> iemarks: Relinquished Date: Time: quished D te: Time: Relinquished Date: Time: <br /> AlcWa `%(IM5 0124122 1146 /o/ <br /> �4 2Z /7a d <br /> Rece'ved By: ayy: Time: Received By: // Date: Time: Received By: Date: Time: <br /> I'VnI64-- ) /k/wa 1-70(1-) <br /> Corporate 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)7349473 <br /> �' Env Fax:(805)5254172/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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