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WP0036500
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4200/4300 - Liquid Waste/Water Well Permits
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WP0036500
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Entry Properties
Last modified
11/19/2024 10:20:02 AM
Creation date
3/8/2019 4:19:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0036500
PE
4378
STREET_NUMBER
7777
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304
APN
25014011
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
7777 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
AMeuangkhoth
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> ENVIRONMENTALFGIL • . Special www.fglinc.com <br /> Analytical Chemists Customer Cor., (2 of_ ) <br /> IIIIIIII-Ililllllll�l6�IIIIIII _ ' <br /> a 35730:02!06/2017 TES' DESCRIPTION - See Reverse;ide for Container,Preservative an Sampling;i1ormation <br /> Client: San Joaquin Coutoy EHD , <br /> Address: San Joaquin Co.F vironmental Health Dep ; <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada �� E <br /> Project Name: <br /> Purchase Order Number: t-T✓ft.# w W <br /> Quote Number: ST 20160309-01 aN <br /> & E o H <br /> Sampler(s) o z °O A <br /> U y Ln a O <br /> 5v O a� QO W <br /> Sampling Fee: Pickup Fee: eq <br /> p �_ o. xE- <br /> 5 o CCn. <br /> �• J a.... C m a v <br /> Compositor Setup Date: / / Time: / c a z O =' O z_ ;; 8 <br /> -- n E e 0 En oz cz y A E <br /> Lab Number: STK 3-17919 o w 5 a M E a a fl <br /> Samp Date Time b ?0 o E b x <br /> Num Location Description Sam led Sam It <br /> -30 0 <br /> P p <br /> 1 G DSS' <br /> Remark,: Relinquished Date: Time: Relinquished Date: l into: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Tinle: Received By: Date: Time: <br /> Corporate Offices 8 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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