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WP0039118
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039118
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Entry Properties
Last modified
7/31/2019 5:41:25 PM
Creation date
4/11/2019 9:04:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039118
PE
4366
STREET_NUMBER
25795
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304-
APN
25214009
ENTERED_DATE
12/14/2018 12:00:00 AM
SITE_LOCATION
25795 S BIRD RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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-_-_ CI imri OF CUSTODY <br /> • — • , Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 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 3 a <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 fl <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 V) <br /> Contact Person: Rodney Estrada O Q aF <br /> Project Name: ° R <br /> Purchase Order Number: U w uj <br /> Quote Number: ST 20160309-01 a ¢ = x a <br /> Sampler(s) o Z <br /> Sampling Fee: Pickup Fee: a 7 O <br /> C � O <br /> Compositor Setup Date:_/ / Time: / E a z p <br /> n <br /> Ern <br /> Lab <br /> F- <br /> 0 <br /> Lab Number: STK 3-17919 o w w ct ° ^ E cn a a o <br /> 0 o v <br /> Samp Date Time <br /> Location Description f c o b CL <br /> SampledSam led SampledNum <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: 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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