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WP0039062
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039062
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Entry Properties
Last modified
12/27/2018 11:23:41 AM
Creation date
12/27/2018 10:48:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039062
PE
4366
STREET_NUMBER
28960
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25502064
ENTERED_DATE
11/26/2018 12:00:00 AM
SITE_LOCATION
28960 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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DAfonskaia
Tags
EHD - Public
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TGL CHAIN OF CUSTODY <br /> ENViRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 3:5730:02/06/2017 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 a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person- Rodney Estrada A Q 2 <br /> = a <br /> Project Name: <br /> Purchase Order Number: , <br /> w <br /> ¢ y a W <br /> Quote Number: ST 20160309-01 _ <br /> o W a <br /> 4_1 <br /> E apo <br /> Sargpler(s) C U �, ,� a^ a O <br /> Sampling Fee: Pickup Fee: <br /> r,� a a 'z OTme: 2 Nau.yE" <br /> VCompositor Setup Date: C zoa � <br /> ca �- <br /> Lab Number: STK 3-17919 o w a .. y43 <br /> a a a a <br /> 0= <br /> Samp Date Time 6 a 'L = °' E •b :2 b <br /> Sampled Sampled Num Location Description Sam " o o(=S, 00, <br /> ° <br /> P P F• a PO w O v O <br /> I.3 G DW 1 1,1,1 di•go <br /> Remm k�: Relinquished \\ Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1 N-`n 10/a3//2 /*5 <br /> Receiveo By: te: Time: Received By: Date: Time: Received By: Dale: Time: <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)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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