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WP0036500
EnvironmentalHealth
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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 /> •• - Special www <br /> .fgUnc.com <br /> Analytical Chemists Field Copy (3 03) <br /> t fl I, 35'; 0:02/06'2017 TC`,;'DESCRIPTION - See Reverse Xcle for Co Ak iner. Preservative and Sampliniltiformation <br /> Client: San JoaquinCo(lm ElM <br /> i.: <br /> Address: San Joaquin Co.Lvironniental Health Dep <br /> Water Quality Division j <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: °4 <br /> c7 w <br /> Contact Person: Rodney Estrada <br /> Name: <br /> Project Pro1 } f c7 w ' o <br /> C4 Cn <br /> Purchase Order Number: - Y U w — <br /> Y W Q � <br /> Quote Number: ST 20160309-01 .y <br /> g E <br /> Sargpler(s) t o z T O° <br /> U V * 93 v� P4 P" O <br /> en � ¢O 'O w <br /> Sampling Fee: Pickup Fee: .E o a a <br /> c o �s94 2 <br /> z v <br /> Compositor Setup Date:_/_/ _ Time:_/ EE a z O a z O 0 <br /> v� E o� c E z Q F= <br /> Lab Number: STK 3-17919 0 a a U oo x to x x <br /> P4a`i <br /> A c � �'� <br /> Samp Date Time E b a _o o x = <br /> Location Description " <br /> Sampled led Sam led ' <br /> P P � H a Mw O U� C7 N fw�•'' w <br /> G DW 1 1,1,1 C <br /> RenuuL.: Relinquished Date: linin: Relinquished Date: Time: Relinquished Date: Dime: <br /> Received By: Date: Time: Received By: Date: Time: Received B\: Dare: 'Dime: <br /> Cqroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corppration Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CQ 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phdhe:(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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