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WP0036853
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036853
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Entry Properties
Last modified
9/30/2018 12:04:52 AM
Creation date
12/2/2017 12:29:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036853
PE
4378
STREET_NUMBER
16350
Direction
W
STREET_NAME
TARGOWSKI
STREET_TYPE
LN
City
TRACY
Zip
95304-
APN
20941007
ENTERED_DATE
7/18/2017 12:00:00 AM
SITE_LOCATION
16350 W TARGOWSKI LN
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
DAfonskaia
Supplemental fields
FilePath
\MIGRATIONS\T\TARGOWSKI\16350\WP0036853.PDF
QuestysFileName
WP0036853
QuestysRecordID
3711905
QuestysRecordType
12
Tags
EHD - Public
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= CHAIN OF CUSTODY <br /> ENVIRONMENTAL -- AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 aa' <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> = P <br /> Project Name: -,J k 1 @ 0 <br /> Purchase Order Number: T r w U w 3 — <br /> :: w <br /> Quote Number: ST 20160309-01 N <br /> o F <br /> c W ii E °° A <br /> S rttpler(s) 11 0 CO) p a <br /> U <br /> Sampling Fee: Pickup Fee: a .o a O <br /> Compositor Setup Date: / / Time: !_ E o z p w = L.O <br /> -- E a� oz c w A E- <br /> 0 <br /> Lab Number: STK 3-17919 o w ii 4. M„ E a a a a <br /> 04 O w m 911 <br /> Samp Date Timesa �, '3 °' =o a o b <br /> Num Location Description Sam led Sampled " ' `" 'J ° <br /> P P F• a a0 M 0 U 0 <br /> l G DW 1 1,1,1 <br /> Remarks: Relinquished Datc: Dime: Rrlin(luished Date: Time: Relinquished Date: Time: <br /> Received B\: Datc: Time: Received By: Datc: Time: Received By: Date: 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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